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1093363095
ALLISON MARIE IVAN
CONCORD, NC
NPI
1093363095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-08982)
Enumeration Date
2019-09-03
Last Update Date
2021-04-28
Business Address
ALLISON MARIE IVAN PA-C
645 AMALIA ST NE
CONCORD, NC 28025-2434
Phone number: 704-295-3255
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Mailing Address
ALLISON MARIE IVAN PA-C
645 AMALIA ST NE
CONCORD, NC 28025-2434
Phone number: 704-295-3255
Copy
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