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1467864470
JOHN IVERSON
PRESCOTT, AZ
NPI
1467864470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 6073)
Enumeration Date
2014-05-24
Last Update Date
2023-01-10
Business Address
JOHN IVERSON
743 MILLER VALLEY RD
PRESCOTT, AZ 86301-1813
Phone number: 928-777-9600
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Mailing Address
JOHN IVERSON
743 MILLER VALLEY RD
PRESCOTT, AZ 86301-1813
Phone number: 928-777-9600
Copy
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