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Individual

STEPHANIE KOVACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20827 N CAVE CREEK RD, PHOENIX, AZ 85024-4470
(602) 788-5890
Mailing address
PO BOX 3412, CAREFREE, AZ 85377-3412
(602) 788-5890

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 177047
AZ
163W00000X
Registered Nurse
RN 346411
OH

Other

Enumeration date
04/10/2014
Last updated
09/04/2014
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