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1518055508
AMANDA MICHELLE IVY
SAN MARCOS, TX
NPI
1518055508
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Professional Name
AMANDA M. IVY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: TX N9880)
Enumeration Date
2006-10-11
Last Update Date
2011-09-22
Business Address
-- AMANDA MICHELLE IVY MD
1340 WONDER WORLD DR STE 4301
SAN MARCOS, TX 78666-7598
Phone number: 512-353-6400
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Mailing Address
-- AMANDA MICHELLE IVY MD
1340 WONDER WORLD DR STE 4301
SAN MARCOS, TX 78666-7598
Phone number: 512-353-6400
Copy
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