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Individual

DR. REBECCA D. RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
901 W MORTON AVE, STE. 113, JACKSONVILLE, IL 62650-3145
(217) 243-6506
(217) 243-4902
Mailing address
8309 N KNOXVILLE AVE, PEORIA, IL 61615-2170
(309) 693-9540
(309) 693-9754

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008280
IL

Other

Enumeration date
05/18/2006
Last updated
10/23/2015
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