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1730329780
RYAN C PED
LOS ANGELES, CA
NPI
1730329780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP18631)
Enumeration Date
2009-03-04
Last Update Date
2011-03-22
Business Address
-- RYAN C PED NP
10833 LE CONTE AVE RM 62-182
LOS ANGELES, CA 90095-3075
Phone number: 310-825-9820
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Mailing Address
-- RYAN C PED NP
5767 W CENTURY BLVD SUITE 200
LOS ANGELES, CA 90045-5632
Phone number: 310-825-9820
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