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1619500691
IVANKA M MORA
COLUMBIA, MD
NPI
1619500691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
IVANKA M MORA PA-C
5910 WATCH CHAIN WAY APT 603
COLUMBIA, MD 21044-3875
Phone number: 240-480-8236
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Mailing Address
IVANKA M MORA PA-C
5910 WATCH CHAIN WAY APT 603
COLUMBIA, MD 21044-3875
Phone number:
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