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Individual

IRINA ALEXANDROVNA VANZHULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
11824 RANSUM DR, LOUISVILLE, KY 40243-2802
(563) 209-0904
Mailing address
11824 RANSUM DR, LOUISVILLE, KY 40243-2802
(563) 209-0904

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/07/2019
Last updated
10/07/2019
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