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Individual

MR. RYAN YAN SO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CF-SLP

Contact information

Practice address
226 SHARI DR APT C, PECULIAR, MO 64078-8234
(660) 238-3775
Mailing address
226 SHARI DR APT C, PECULIAR, MO 64078-8234
(660) 238-3775

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014039071
MO

Other

Enumeration date
06/01/2015
Last updated
06/01/2015
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