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Individual

MARY ANN KOVACS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4475 SW SCHOLLS FERRY RD, STE 201, PORTLAND, OR 97225-1955
(503) 246-2350
Mailing address
P.O. BOX 1393, RAPID CITY, SD 57709
(605) 348-2357

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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