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1386256519
RYAN TIERNEY
MEDFORD, OR
NPI
1386256519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 63135)
Enumeration Date
2020-08-19
Last Update Date
2020-08-19
Business Address
RYAN TIERNEY
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number: 541-732-5686
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Mailing Address
RYAN TIERNEY
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number:
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