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Individual
RYAN DAVID VINSON
Active
Individual
RYAN DAVID VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011675
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650E026820
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/09/2008
Last updated
02/27/2009
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