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1003004169
SUSAN LEE IVEY
BERKELEY, CA
NPI
1003004169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA C43335)
Enumeration Date
2007-10-12
Last Update Date
2007-10-12
Business Address
Dr. SUSAN LEE IVEY MD
2140 SHATTUCK AVE 10TH FLOOR, HEALTH RESEARCH FOR ACTION, UC-BERKELEY SPH
BERKELEY, CA 94704-1210
Phone number: 510-643-1883
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Mailing Address
Dr. SUSAN LEE IVEY MD
131 EMERALD DR
DANVILLE, CA 94526-2426
Phone number: 925-362-8227
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