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Organization
VICTORIAN HEALTH LLC
Active
Organization
VICTORIAN HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY VICTORIA WARIBOKO MD (CEO)
(305) 528-6689
Entity
Organization
Contact information
Practice address
3087 WESTMINSTER DR, UNIT 205, BEAVERCREEK, OH 45431-8803
(305) 528-6689
Mailing address
3087 WESTMINSTER DR, UNIT 205, BEAVERCREEK, OH 45431-8803
(305) 528-6689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.096373
OH
208000000X
Pediatrics Physician
35.096373
OH
Other
Enumeration date
10/08/2014
Last updated
05/05/2016
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