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1235441668
RYAN JAMES AVERY
ROOSEVELT, UT
NPI
1235441668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 7697917-4201)
Enumeration Date
2010-07-14
Last Update Date
2010-07-14
Business Address
RYAN JAMES AVERY MOTR/L
250 W 300 N
ROOSEVELT, UT 84066-2336
Phone number: 435-722-4691
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Mailing Address
RYAN JAMES AVERY MOTR/L
250 W 300 N
ROOSEVELT, UT 84066-2336
Phone number: 435-722-4691
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