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Ian
Ian
Durham
Anesthesiologist assistants
Ponte Vedra Beach, United States
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Florida Health Care Practitioner Data Portal
Full name
IAN DURHAM
Job Title
Anesthesiologist Assistants
Location
Ponte Vedra Beach, FL, USA
LIC ID
498
Current License Expiration Date
31/01/2025
Original Date
03/10/2018
Professional Rank Code
AA
Effective Date
03/10/2018
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ST.JOHNS
Mailing Address Line 2
Unit 816
Practice Location Address Line 1
1 Shircliff way
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32204
Prescribing Indicator
N
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