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Individual

GANNA POPOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP-C

Contact information

Practice address
2259 MELROSE DR, XENIA, OH 45385-9118
(567) 219-0776
Mailing address
2259 MELROSE DR, XENIA, OH 45385-9118
(567) 219-0776

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.024509
OH

Other

Enumeration date
04/26/2019
Last updated
04/26/2019
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