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Individual
MARY ANN KOVACS
Active
Individual
MARY ANN KOVACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R057393
SD
225700000X
Massage Therapist
12771
OR
Other
Enumeration date
02/25/2009
Last updated
10/25/2023
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