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VIRGINIA CHETVERIKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
100 EAST WATER ST., PROSPECT, OH 43342
(740) 494-2999
(740) 494-2999
Mailing address
100 EAST WATER ST., PO BOX 34, PROSPECT, OH 43342
(740) 494-2999
(740) 494-2999

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4919
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2067963
OH
Enumeration date
07/04/2006
Last updated
07/27/2009
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