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1649052416
LEE IVY BANDY
PASADENA, MD
NPI
1649052416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0009146)
Enumeration Date
2023-10-17
Last Update Date
2024-02-20
Business Address
LEE IVY BANDY PA-C
8105 RITCHIE HWY
PASADENA, MD 21122-3905
Phone number: 443-573-0564
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Mailing Address
LEE IVY BANDY PA-C
5000 COX RD
GLEN ALLEN, VA 23060-9263
Phone number: 804-793-0106
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