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1013766708
DAVID S IVERSON
FORT CAVAZOS, TX
NPI
1013766708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
DAVID S IVERSON MD
36065 SANTA FE AVE
FORT CAVAZOS, TX 76544-5060
Phone number: 254-553-6974
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Mailing Address
DAVID S IVERSON MD
36065 SANTA FE AVE
FORT CAVAZOS, TX 76544-5060
Phone number: 254-553-6974
Copy
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