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Individual

CHIUZO ILO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
110 DUNLOP VLG, COLONIAL HEIGHTS, VA 23834-1764
(804) 526-6062
Mailing address
110 DUNLOP VLG, COLONIAL HEIGHTS, VA 23834-1764
(804) 526-6062

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024171972
VA
363LG0600X
Gerontology Nurse Practitioner
0024171972
VA

Other

Enumeration date
11/06/2014
Last updated
11/06/2014
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