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Individual

RYAN JAY RASMUSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1888 W 800 N, PLEASANT GROVE, UT 84062-4097
(801) 492-7851
Mailing address
1888 W 800 N, PLEASANT GROVE, UT 84062-4097
(801) 492-7851

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
335256-4405
UT

Other

Enumeration date
10/03/2011
Last updated
10/03/2011
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