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1861878522
RYAN ELLIS
FARMINGTON, NM
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
2015-10-20
Business Address
RYAN ELLIS CRNA
4511 BARCELONA CIR
FARMINGTON, NM 87401-2892
Phone number: 801-520-1543
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Mailing Address
RYAN ELLIS CRNA
4511 BARCELONA CIR
FARMINGTON, NM 87401-2892
Phone number: 801-520-1543
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