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1295763100
KEVIN M RYAN
LAWRENCEVILLE, GA
NPI
1295763100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 001975)
Enumeration Date
2006-06-29
Last Update Date
2014-04-22
Business Address
-- KEVIN M RYAN PAAA
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046-0000
Phone number: 770-277-3056
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Mailing Address
-- KEVIN M RYAN PAAA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839
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