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Individual

MR. RYAN BOBST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BASW

Contact information

Practice address
1229 W 8TH ST, DAVENPORT, IA 52802-1331
(563) 322-3011
Mailing address
1355 N JONES BLVD APT 3, NORTH LIBERTY, IA 52317-9160
(563) 320-1315

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/18/2009
Last updated
06/18/2009
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