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1972181519
RYAN JOHNSON
CHICAGO, IL
NPI
1972181519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
-- RYAN JOHNSON
836 W WELLINGTON AVE
CHICAGO, IL 60657-5147
Phone number: 407-637-9519
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Mailing Address
-- RYAN JOHNSON
836 W WELLINGTON AVE
CHICAGO, IL 60657-5147
Phone number: 407-637-9519
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