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1003376534
NICOLE LUDMIL IVANOV
CHARLOTTE, NC
NPI
1003376534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 2022-01947)
Enumeration Date
2019-03-21
Last Update Date
2024-07-15
Business Address
NICOLE LUDMIL IVANOV MD
9908 COULOAK DR STE 103
CHARLOTTE, NC 28216-8678
Phone number: 704-801-2025
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Mailing Address
NICOLE LUDMIL IVANOV MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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