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1003551979
MILICA IVANOV
DYER, IN
NPI
1003551979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71012485A)
Enumeration Date
2022-05-04
Last Update Date
2022-05-04
Business Address
Mrs. MILICA IVANOV NP
1532 CALUMET AVE
DYER, IN 46311-1588
Phone number: 219-515-4700
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Mailing Address
Mrs. MILICA IVANOV NP
10110 DONALD S POWERS DR SUITE 101D
MUNSTER, IN 46321
Phone number: 219-301-7264
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