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1629065610
RYAN KENNETH AVERETT
COEUR D ALENE, ID
NPI
1629065610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: ID P177)
Enumeration Date
2005-10-04
Last Update Date
2016-04-22
Business Address
Mr. RYAN KENNETH AVERETT D.P.M.
2221 N IRONWOOD CENTER DR
COEUR D ALENE, ID 83814-2697
Phone number: 208-667-3585
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Mailing Address
Mr. RYAN KENNETH AVERETT D.P.M.
2221 N IRONWOOD CENTER DR
COEUR D ALENE, ID 83814-2697
Phone number: 208-667-3585
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