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1578125050
ILONA HARTVIG
VAN NUYS, CA
NPI
1578125050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95000672)
Enumeration Date
2019-07-03
Last Update Date
2019-07-03
Business Address
ILONA HARTVIG NP
14856 VANOWEN ST
VAN NUYS, CA 91405-3828
Phone number: 818-616-9575
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Mailing Address
ILONA HARTVIG NP
14856 VANOWEN ST
VAN NUYS, CA 91405-3828
Phone number:
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