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1538909403
JARED ANDREW IVAN
LUBBOCK, TX
NPI
1538909403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
JARED ANDREW IVAN DO
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number: 806-743-1000
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Mailing Address
JARED ANDREW IVAN DO
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number: 806-743-1000
Copy
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