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1407484900
PAUL RYAN BADER
JOHNSON CITY, TN
NPI
1407484900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 4187)
Enumeration Date
2020-03-30
Last Update Date
2021-03-05
Business Address
PAUL RYAN BADER PA
101 MED TECH PKWY STE 100
JOHNSON CITY, TN 37604-4006
Phone number: 423-794-1800
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Mailing Address
PAUL RYAN BADER PA
PO BOX 3889
JOHNSON CITY, TN 37602-3889
Phone number: 423-794-1800
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