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1679520365
QING IVY FAN
JACKSONVILLE, FL
NPI
1679520365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 0000040237)
Enumeration Date
2006-05-28
Last Update Date
2008-09-18
Business Address
-- QING IVY FAN MD
6817 SOUTHPOINT PKWY #503
JACKSONVILLE, FL 32216-6282
Phone number: 904-296-9777
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Mailing Address
-- QING IVY FAN MD
6817 SOUTHPOINT PKWY #503
JACKSONVILLE, FL 32216-6282
Phone number: 904-296-9777
Copy
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