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1043761117
VICTORIA RANTI BALOGUN
CHANTILLY, VA
NPI
1043761117
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Other Name
VICTORIA OLUWARANTI BALOGUN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 20493)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
-- VICTORIA RANTI BALOGUN Nurse practitioner
14121 PARKE LONG COURT, SUITE 201
CHANTILLY, VA 20151
Phone number: 864-551-5536
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Mailing Address
-- VICTORIA RANTI BALOGUN Nurse practitioner
14121 PARKE LONG CT STE 201
CHANTILLY, VA 20151-1647
Phone number: 864-551-5536
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