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Individual

DR. RYAN W NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
915 ROBINS SQUARE DR, ROBINS, IA 52328-9649
(319) 294-8888
(319) 294-4299
Mailing address
915 ROBINS SQUARE DR, ROBINS, IA 52328-9649
(319) 294-8888
(319) 294-4299

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002436
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0461921
IA
Enumeration date
06/24/2008
Last updated
06/22/2010
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