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Individual

AMANDA K KOVOLYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
139 GAIUS ST, BUCYRUS, OH 44820-1508
(419) 563-9855
(419) 563-3285
Mailing address
700 N COLUMBUS ST STE 150, CRESTLINE, OH 44827-1455

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11015615A
IN

Other

Enumeration date
06/15/2010
Last updated
12/07/2020
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