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Individual

RYAN ALEXANDER VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 CARR ST, PEA RIDGE, AR 72751-2782
(479) 488-6415
Mailing address
3906 SW MOLINE AVE, BENTONVILLE, AR 72712-7505
(417) 399-0053

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
232429
AR

Other

Enumeration date
07/31/2025
Last updated
08/07/2025
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