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1225412356
JONATHAN L. IVES
FORT WORTH, TX
NPI
1225412356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA09865)
Enumeration Date
2015-07-18
Last Update Date
2023-04-18
Business Address
JONATHAN L. IVES PA
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104-4215
Phone number: 817-335-5288
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Mailing Address
JONATHAN L. IVES PA
911 MEDICAL CENTRE DR STE C
ARLINGTON, TX 76012-4758
Phone number: 817-263-5864
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