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1720330442
RYAN CHRISTOPHER UPHAM
BRADENTON, FL
NPI
1720330442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PAT9106762)
Enumeration Date
2012-10-04
Last Update Date
2012-10-04
Business Address
Mr. RYAN CHRISTOPHER UPHAM PA
2020 59TH ST W
BRADENTON, FL 34209-4604
Phone number: 941-792-6611
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Mailing Address
Mr. RYAN CHRISTOPHER UPHAM PA
970 S ORANGE AVE
SARASOTA, FL 34236-8425
Phone number: 941-400-4120
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