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Individual

LAURA ANNE RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
120 W PEARL AVE, JACKSON, WY 83001-8657
(530) 559-2979
Mailing address
PO BOX 244, JACKSON, WY 83001-0244
(530) 559-2979

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60680117
WA

Other

Enumeration date
06/07/2021
Last updated
06/07/2021
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