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1184779241
SUSAN RYAN
BLAIR, NE
NPI
1184779241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 781)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
-- SUSAN RYAN PA-C
718 S 19TH ST
BLAIR, NE 68008-1887
Phone number: 402-426-5171
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Mailing Address
-- SUSAN RYAN PA-C
PO BOX 642117
OMAHA, NE 68164-8117
Phone number: 402-717-4377
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