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1487755054
PATRICK JOSEPH IVORY
JACKSONVILLE, FL
NPI
1487755054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA001735L)
Enumeration Date
2006-09-26
Last Update Date
2014-12-04
Business Address
Mr. PATRICK JOSEPH IVORY PA-C
655 W 8TH ST UFJAX - DEPT. OF COMMUNITY HEALTH
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-5672
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Mailing Address
Mr. PATRICK JOSEPH IVORY PA-C
PO BOX 44008 UFJP - PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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