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1275994048
ROBERT GERARD IDZAKOVICH
PORTSMOUTH, OH
NPI
1275994048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH RN391062)
Enumeration Date
2016-03-08
Last Update Date
2016-03-08
Business Address
-- ROBERT GERARD IDZAKOVICH FNP
2511 GRANDVIEW AVE
PORTSMOUTH, OH 45662-2770
Phone number: 740-464-8125
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Mailing Address
-- ROBERT GERARD IDZAKOVICH FNP
2511 GRANDVIEW AVE
PORTSMOUTH, OH 45662-2770
Phone number: 740-464-8125
Copy
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