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1659856862
IAN MICHAEL DURHAM
JACKSONVILLE, FL
NPI
1659856862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
Enumeration Date
2018-10-03
Last Update Date
2018-10-03
Business Address
IAN MICHAEL DURHAM
1 SHIRCLIFF WAY FL 32204
JACKSONVILLE, FL 32204-4748
Phone number: 904-308-7300
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Mailing Address
IAN MICHAEL DURHAM
6658 CABLE CAR LN
WILMINGTON, NC 28403-3606
Phone number: 910-620-4811
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