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Individual

VIRGINIA ANNE KOUBEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
87 MURRAY GUARD DR STE B, JACKSON, TN 38305-3775
(731) 664-1375
(731) 660-8319
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 425-5783

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
51924
TN

Other

Enumeration date
04/02/2009
Last updated
12/08/2014
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