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Individual
MR. RYAN FLYNN HOUGHTALEN
Active
Individual
MR. RYAN FLYNN HOUGHTALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
708092
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402404
NY
Other
Enumeration date
04/17/2018
Last updated
06/21/2018
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