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1295501757
ANASTASIA IVANOVA
MIAMI BEACH, FL
NPI
1295501757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL 11029848)
Enumeration Date
2023-11-27
Last Update Date
2023-11-27
Business Address
ANASTASIA IVANOVA APRN
4445 ALTON RD
MIAMI BEACH, FL 33140-2852
Phone number: 954-330-9768
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Mailing Address
ANASTASIA IVANOVA APRN
4445 ALTON RD
MIAMI BEACH, FL 33140-2852
Phone number: 954-330-9768
Copy
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