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Individual

JULIE C IVANOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1500 ASSOCIATES DR, THE MEDICAL ASSOCIATES CLINIC PC, DUBUQUE, IA 52002
(563) 584-4460
(563) 584-4395
Mailing address
1500 ASSOCIATES DR, THE MEDICAL ASSOCIATES CLINIC PC, DUBUQUE, IA 52002
(563) 584-4100
(563) 584-4112

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
IL

Other

Enumeration date
02/03/2006
Last updated
01/22/2008
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