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Individual
VICTORIA ANN VACCARO
Active
Individual
VICTORIA ANN VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704150960
MI
363LF0000X
Family Nurse Practitioner
Primary
4704150960
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5181698
—
MI
Enumeration date
09/20/2006
Last updated
10/03/2013
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