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1700399540
RYAN SCOTT MIZELLE
ANCHORAGE, AK
NPI
1700399540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AK 126754)
Enumeration Date
2017-11-15
Last Update Date
2017-11-15
Business Address
RYAN SCOTT MIZELLE
6311 DEBARR RD STE J
ANCHORAGE, AK 99504-1777
Phone number: 336-755-6446
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Mailing Address
RYAN SCOTT MIZELLE
6311 DEBARR RD STE J
ANCHORAGE, AK 99504-1777
Phone number: 336-755-6446
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