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1629179528
MARK PATRICK IVORY
FREDERICKSBURG, VA
NPI
1629179528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0024164629)
Enumeration Date
2006-09-26
Last Update Date
2017-10-06
Business Address
MARK PATRICK IVORY CRNA
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401-4453
Phone number: 540-741-7614
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Mailing Address
MARK PATRICK IVORY CRNA
3100 SPRING FOREST RD STE 130
RALEIGH, NC 27616-2880
Phone number: 888-280-9533
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