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1588253611
OLENA IVANOVA
GAITHERSBURG, MD
NPI
1588253611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R206867)
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
OLENA IVANOVA CRNP-Family
16220 FREDERICK RD STE 200
GAITHERSBURG, MD 20877-4086
Phone number: 301-519-2650
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Mailing Address
OLENA IVANOVA CRNP-Family
PO BOX 525
NEW MARKET, MD 21774-0525
Phone number: 443-629-5584
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