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Organization

IKU MARKETING, LLC

Active
Other names
Gemini Health Products & Supplies
Organization subpart
No

Provider details

NPI number
Authorized official
LILIYA HERETSUN-ROUSSONICOLOS (PRESIDENT)
(772) 777-4745
Entity
Organization

Contact information

Practice address
1488 SE VILLAGE GREEN DR, PORT SAINT LUCIE, FL 34952-3411
(772) 777-4745
(772) 777-4833
Mailing address
1488 SE VILLAGE GREEN DR, PORT SAINT LUCIE, FL 34952-3411
(772) 777-4745
(772) 777-4833

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/05/2020
Last updated
12/23/2020
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