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1386806669
RYAN SOUTHWORTH
CASA GRANDE, AZ
NPI
1386806669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AZ 005891)
Enumeration Date
2008-06-27
Last Update Date
2013-02-13
Business Address
-- RYAN SOUTHWORTH DO
1800 E. FLORENCE BLVD
CASA GRANDE, AZ 85122
Phone number: 610-776-4622
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Mailing Address
-- RYAN SOUTHWORTH DO
1800 E FLORENCE BLVD
CASA GRANDE, AZ 85122-5303
Phone number: 530-902-3709
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