IGA AIZIGOV

GRANGER, IN
NPI1992155121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28218728A)
Enumeration Date2016-06-19
Last Update Date2019-10-12
Business Address
IGA AIZIGOV FNP-C
50653 HOLLYBROOK DR
GRANGER, IN 46530-4947
Phone number: 718-208-0510
Mailing Address
IGA AIZIGOV FNP-C
50653 HOLLYBROOK DR
GRANGER, IN 46530-4947
Phone number: 718-208-0510
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