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1255479184
RYAN J GREEN
LOGAN, UT
NPI
1255479184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 57936452401)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
-- RYAN J GREEN PT
2380 N 400 E
LOGAN, UT 84341-1749
Phone number: 435-713-9710
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Mailing Address
-- RYAN J GREEN PT
2380 N 400 E
LOGAN, UT 84341-1749
Phone number: 435-713-9710
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