VICTORIA KOCH

MOUNT VERNON, IL
NPI1336656537
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209016821)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MO  2017038330)
Enumeration Date2018-01-09
Last Update Date2020-10-20
Business Address
VICTORIA KOCH APRN
602 S 42ND ST
MOUNT VERNON, IL 62864-6264
Phone number: 618-899-3278
Mailing Address
VICTORIA KOCH APRN
PO BOX 955860
SAINT LOUIS, MO 63195-1048
Phone number: 636-498-5944
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