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1861878522
RYAN ELLIS
FORT MOHAVE, AZ
NPI
1861878522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: UT 6220295-3102)
Enumeration Date
2015-08-05
Last Update Date
2025-09-08
Business Address
-- RYAN ELLIS CRNA
5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426-9225
Phone number: 928-788-2273
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Mailing Address
-- RYAN ELLIS CRNA
2351 E AMBER AVE
FORT MOHAVE, AZ 86426-7304
Phone number: 801-520-1543
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