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1265798805
ROBERT RYAN DISOTELL
TEXARKANA, TX
NPI
1265798805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: AR A03684)
Enumeration Date
2012-04-09
Last Update Date
2018-04-27
Business Address
MR. ROBERT RYAN DISOTELL ANP
2604 SAINT MICHAEL DR STE 340
TEXARKANA, TX 75503-2378
Phone number: 903-614-5117
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Mailing Address
MR. ROBERT RYAN DISOTELL ANP
202 QUAIL LN
WAKE VILLAGE, TX 75501-5722
Phone number: 870-292-9960
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