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1245428630
IVANKA A. VASSILEVA, M.D., P.C.
LAWTON, OK
NPI
1245428630
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Entity Type
Organization
Authorized Contact
IVANKA A. VASSILEVA
Owner
580-354-9600
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 22970)
Enumeration Date
2007-10-10
Last Update Date
2012-02-09
Business Address
IVANKA A. VASSILEVA, M.D., P.C.
4411 W GORE BLVD SUITE B-10
LAWTON, OK 73505-5977
Phone number: 580-354-9600
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Mailing Address
IVANKA A. VASSILEVA, M.D., P.C.
4411 W GORE BLVD SUITE B-10
LAWTON, OK 73505-5977
Phone number: 580-354-9600
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