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Individual
MR. RYAN BISHOP
Active
Individual
MR. RYAN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., LMT
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 3223
FL
225700000X
Massage Therapist
MA35463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP 3223
FLORIDA DEPARTMENT OF HEALTH BOARD OF ACUPUNCTURE
FL
01
—
MA35463
STATE OF FLORIDA LICENSE NUMBER
FL
Enumeration date
05/24/2010
Last updated
09/09/2014
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