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1558776161
MELODY J IVEY
FAIRFAX, VA
NPI
1558776161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110-004627)
Enumeration Date
2014-06-23
Last Update Date
2022-03-08
Business Address
MELODY J IVEY PA-C
8081 INNOVATION PARK DR
FAIRFAX, VA 22031-4867
Phone number: 571-472-4724
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Mailing Address
MELODY J IVEY PA-C
PO BOX 37174
BALTIMORE, MD 21297-3174
Phone number: 571-423-5699
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