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1720101264
RYAN LEE DECAMP
VINTON, IA
NPI
1720101264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 000068)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Mr. RYAN LEE DECAMP PTA
502 N 9TH AVE
VINTON, IA 52349-2254
Phone number: 319-472-6372
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Mailing Address
Mr. RYAN LEE DECAMP PTA
6224 WINDY MEADOW LN
CEDAR RAPIDS, IA 52411-6665
Phone number: 319-378-1296
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