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Individual

DEBORAH JEAN IVORY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
C.S.A.

Contact information

Practice address
1601 DUKE OF WINDSOR RD, VIRGINIA BEACH, VA 23454-2505
(757) 216-7458
(757) 496-5110
Mailing address
1601 DUKE OF WINDSOR RD, VIRGINIA BEACH, VA 23454-2505
(757) 496-3477

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary

Other

Enumeration date
03/05/2006
Last updated
07/08/2007
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