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MR. RYAN STEPHEN HILDEBRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
BLDG 3005, S R 108, BRIDGEPORT, CA 93517
(760) 932-1614
Mailing address
BLDG 3005 SR 108, ATTN MEDICAL CLINIC, BRIDGEPORT, CA 93517
(760) 932-1614

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
03/16/2006
Last updated
09/15/2008
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