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Individual

RYAN THOMAS RUBINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDMT

Contact information

Practice address
12102 LARSON CIR, BELLEVUE, NE 68123-1680
(360) 286-9884
Mailing address
12102 LARSON CIR, BELLEVUE, NE 68123-1680

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
08/01/2012
Last updated
08/01/2012
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