SHANNON KOVELESKIE

SHREVEPORT, LA
NPI1225417942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.200784)
Enumeration Date2015-05-27
Last Update Date2015-05-27
Business Address
SHANNON KOVELESKIE
1860 FAIRFIELD AVE
SHREVEPORT, LA 71101-4431
Phone number: 318-675-1313
Mailing Address
SHANNON KOVELESKIE
1860 FAIRFIELD AVE
SHREVEPORT, LA 71101-4431
Phone number: 318-675-1313
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