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1295729929
IVANKA A VASSILEVA
LAWTON, OK
NPI
1295729929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 22970)
Enumeration Date
2005-09-08
Last Update Date
2012-02-09
Business Address
-- IVANKA A VASSILEVA MD
4411 W GORE BLVD STE B10
LAWTON, OK 73505-5977
Phone number: 580-354-9600
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Mailing Address
-- IVANKA A VASSILEVA MD
4411 W GORE BLVD STE B10
LAWTON, OK 73505-5977
Phone number: 580-354-9600
Copy
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