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1508518135
RYAN JOHN HENRICK
BEND, OR
NPI
1508518135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-01-25
Last Update Date
2023-07-27
Business Address
RYAN JOHN HENRICK
908 NE 4TH ST # 100
BEND, OR 97701-4646
Phone number: 541-617-7365
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Mailing Address
RYAN JOHN HENRICK
PO BOX 1710
REDMOND, OR 97756-0516
Phone number: 541-362-6023
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