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1396808606
IVAN D HINNANT
PORTSMOUTH, VA
NPI
1396808606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: VA 0101057951)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- IVAN D HINNANT md
620 JOHN PAUL JONES CIR NAVY MEDICAL CENTER
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-1416
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Mailing Address
-- IVAN D HINNANT md
3716 SHORELINE DR
PORTSMOUTH, VA 23703-4036
Phone number:
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