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1659601474
JESSICA L KOUBA
FAYETTEVILLE, NC
NPI
1659601474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-02137)
Enumeration Date
2009-12-29
Last Update Date
2009-12-29
Business Address
-- JESSICA L KOUBA P.A.
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 800-476-8646
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Mailing Address
-- JESSICA L KOUBA P.A.
PO BOX 1070
CHARLOTTE, NC 28201-1070
Phone number: 800-476-8646
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