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Organization
VICTORY HEALTHCARE LLC
Active
Organization
VICTORY HEALTHCARE LLC
Active
Other names
Victory Diabetes and Primary Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD SEBASTIAN MD (OWNER)
(304) 551-2496
Entity
Organization
Contact information
Practice address
1430 16TH AVE, LONGVIEW, WA 98632-2901
(253) 331-2381
(253) 201-6070
Mailing address
1430 16TH AVE, LONGVIEW, WA 98632-2901
(360) 857-0451
(360) 857-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
09/05/2024
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