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Individual

MELISSA AUTUMN RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CST,CFA,RSA

Contact information

Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-4050
Mailing address
48W741 LENSCHOW RD, HAMPSHIRE, IL 60140-8672
(847) 683-9113
(847) 683-9113

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
IL

Other

Enumeration date
06/29/2007
Last updated
07/08/2007
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