VICTORIA IVANUKOFF

PADUCAH, KY
NPI1598095929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: KY  04487)
Additional Taxonomies2086S0129X 
(Licence: GA  076643)
Enumeration Date2010-01-07
Last Update Date2019-03-22
Business Address
VICTORIA IVANUKOFF DO
1532 LONE OAK RD STE 405
PADUCAH, KY 42003-7942
Phone number: 270-441-4300
Mailing Address
VICTORIA IVANUKOFF DO
1035 SOUTHCREST DR STE 250
STOCKBRIDGE, GA 30281-6117
Phone number: 770-996-9945
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