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1497294748
DUSTIN BRANT IVANIC
TEMPE, AZ
NPI
1497294748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP9722)
Enumeration Date
2017-02-20
Last Update Date
2017-02-20
Business Address
Mr. DUSTIN BRANT IVANIC FNP-C
3255 S RURAL RD
TEMPE, AZ 85282-3853
Phone number: 480-304-5467
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Mailing Address
Mr. DUSTIN BRANT IVANIC FNP-C
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number: 615-425-4200
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