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Individual
MISS MARY KOFIGAH
Active
Individual
MISS MARY KOFIGAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
10020 - 33 NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1002033
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024001821
WI
Other
Enumeration date
04/05/2020
Last updated
03/26/2025
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