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1952836884
RYAN FORD
SOUTH BEND, IN
NPI
1952836884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71007058A)
Enumeration Date
2017-04-28
Last Update Date
2022-06-21
Business Address
RYAN FORD FNP-BC
2845 W CLEVELAND ROAD EXT
SOUTH BEND, IN 46628-6188
Phone number: 574-301-8800
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Mailing Address
RYAN FORD FNP-BC
3018 PLEASANT ST
SOUTH BEND, IN 46615-1848
Phone number: 574-299-3386
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