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1922667062
PATRICK RYAN
MISSOULA, MT
NPI
1922667062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 38030)
Enumeration Date
2019-06-12
Last Update Date
2019-06-12
Business Address
PATRICK RYAN LAC
1335 WYOMING ST
MISSOULA, MT 59801-1725
Phone number: 406-532-9830
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Mailing Address
PATRICK RYAN LAC
1321 WYOMING ST
MISSOULA, MT 59801-1725
Phone number: 406-532-8400
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