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Individual
MRS. MOLLY NOLAN JOUBERT
Active
Individual
MRS. MOLLY NOLAN JOUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
300090
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08139320
—
MS
05
—
2411349
—
LA
Enumeration date
12/16/2015
Last updated
07/06/2016
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