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1619367455
RYAN HOUTZ
SAN DIEGO, CA
NPI
1619367455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: PA 27158425)
Enumeration Date
2015-02-02
Last Update Date
2015-02-02
Business Address
-- RYAN HOUTZ
6748 TUXEDO RD
SAN DIEGO, CA 92119-1541
Phone number: 760-978-7448
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Mailing Address
-- RYAN HOUTZ
6748 TUXEDO RD
SAN DIEGO, CA 92119-1541
Phone number:
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