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Individual

DR. VICTORIANO CO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
511 NILLES RD, FAIRFIELD, OH 45014-2634
(513) 829-5306
Mailing address
511 NILLES RD, FAIRFIELD, OH 45014-2634
(513) 829-5306

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-03-3128-C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0161168
OH
Enumeration date
02/13/2007
Last updated
07/08/2007
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