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Individual

MRS. CRYSTAL MARIE RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1450 PETERMAN DR STE A, ALEXANDRIA, LA 71301-3432
(318) 473-4328
Mailing address
1000 CHINABERRY DR STE 902, BOSSIER CITY, LA 71111-2455

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/24/2019
Last updated
09/24/2019
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