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JOSIPA KUKUCKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-7000
Mailing address
1101 BATES AVE, HOUSTON, TX 77030-2607
(137) 981-3007

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP129989
TX
367500000X
Certified Registered Nurse Anesthetist
RN.1617919
CO

Other

Enumeration date
03/10/2016
Last updated
01/03/2025
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