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1386308955
MARSHE IVY
STOCKTON, CA
NPI
1386308955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95018982)
Enumeration Date
2021-10-28
Last Update Date
2022-12-30
Business Address
MARSHE IVY NP
582 E HARDING WAY
STOCKTON, CA 95204-6110
Phone number: 209-442-6077
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Mailing Address
MARSHE IVY NP
8984 SIERRA ST
ELK GROVE, CA 95624-1952
Phone number: 510-229-8321
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