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Individual
ILIA JBANKOV
Active
Individual
ILIA JBANKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP126828
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
95002693
CA
Other
Enumeration date
07/24/2014
Last updated
03/20/2017
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