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1992411383
IVAYLO GEORGIEV NINOV
FAIRFAX, VA
NPI
1992411383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: VA 0001293326)
Enumeration Date
2023-01-30
Last Update Date
2023-01-30
Business Address
IVAYLO GEORGIEV NINOV RN
12504 SWEET LEAF TER
FAIRFAX, VA 22033-2461
Phone number: 571-276-4518
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Mailing Address
IVAYLO GEORGIEV NINOV RN
12504 SWEET LEAF TER
FAIRFAX, VA 22033-2461
Phone number: 571-276-4518
Copy
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