RYAN DEAN LISEC

NEWPORT, RI
NPI1942277132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-03-07
Last Update Date2007-07-08
Business Address
Mr. RYAN DEAN LISEC
43 SMITH RD
NEWPORT, RI 02841-1006
Phone number: 401-841-4170
Mailing Address
Mr. RYAN DEAN LISEC
43 SMITH RD
NEWPORT, RI 02841-1006
Phone number: 401-841-4170
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