RYAN KELLEY

FORT WORTH, TX
NPI1720010663
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: TX  86186)
Enumeration Date2006-07-07
Last Update Date2007-07-08
Business Address
-- RYAN KELLEY
3863 SW LOOP 820
FORT WORTH, TX 76133-2064
Phone number: 817-294-7444
Mailing Address
-- RYAN KELLEY
3863 SW LOOP 820
FORT WORTH, TX 76133-2064
Phone number: 817-294-7444
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