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Individual
DR. RYAN A O'BLENESS
Active
Individual
DR. RYAN A O'BLENESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2503
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-0873179
FED TAX ID
SC
05
—
CH2503
—
SC
Enumeration date
03/19/2007
Last updated
05/10/2017
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