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Individual

RYAN GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HIS

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
10934672-4601
UT
237700000X
Hearing Instrument Specialist
10934672-4602
UT

Other

Enumeration date
09/12/2018
Last updated
01/04/2021
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