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Individual

COURTNEY JO RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1325 CLARK ST, CAMBRIDGE, OH 43725-9614
(740) 630-9708
(740) 630-9709
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
020713
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.020713
OH

Other

Enumeration date
05/23/2017
Last updated
02/02/2018
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