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1932478096
RYAN JAMES EGEBERG
SAINT PAUL, MN
NPI
1932478096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R1774254)
Enumeration Date
2011-12-19
Last Update Date
2011-12-19
Business Address
Mr. RYAN JAMES EGEBERG CRNA
333 SMITH AVE N
SAINT PAUL, MN 55102-2344
Phone number: 651-735-0501
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Mailing Address
Mr. RYAN JAMES EGEBERG CRNA
8681 EAGLE POINT BLVD
LAKE ELMO, MN 55042-8628
Phone number: 651-209-8071
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