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1205033610
MELISSA AUTUMN RYAN
GENEVA, IL
NPI
1205033610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 238000153)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- MELISSA AUTUMN RYAN cst,cfa,rsa
300 RANDALL RD
GENEVA, IL 60134-4200
Phone number: 630-208-4050
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Mailing Address
-- MELISSA AUTUMN RYAN cst,cfa,rsa
48W741 LENSCHOW RD
HAMPSHIRE, IL 60140-8672
Phone number: 847-683-9113
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