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Individual

MAGAN THIBODAUX KOVAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC, APRN

Contact information

Practice address
2205 OLD JEANERETTE RD, NEW IBERIA, LA 70563-8687
(337) 367-9411
Mailing address
2205 OLD JEANERETTE RD, NEW IBERIA, LA 70563-8687
(337) 367-9411

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP09268
LA

Other

Enumeration date
04/06/2017
Last updated
04/06/2017
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