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1528551751
RYAN D KAINRATH
MOUNTAIN HOME AFB, ID
NPI
1528551751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2018-06-12
Last Update Date
2018-06-12
Business Address
RYAN D KAINRATH IDMT
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number: 208-828-7100
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Mailing Address
RYAN D KAINRATH IDMT
930 GARRETT ST
MOUNTAIN HOME, ID 83647-3696
Phone number: 630-788-5482
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