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1710585617
IVY HEALTHCARE
LONGVIEW, TX
NPI
1710585617
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Entity Type
Organization
Authorized Contact
SHEILA BRINKMAN
Owner/Provider
903-918-8520
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-10-13
Last Update Date
2021-01-07
Business Address
IVY HEALTHCARE
1100 N 4TH ST
LONGVIEW, TX 75601-4739
Phone number: 903-918-8520
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Mailing Address
IVY HEALTHCARE
PO BOX 6059
LONGVIEW, TX 75608-6059
Phone number: 903-918-8520
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