Kori Fogg Juban

NPI #1346761301 in Walker, Louisiana

Provider Information

NPI Number
1346761301
Entity Type
Individual
Name
Kori Fogg Juban
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Jun 29, 2017
Last Updated
Mar 30, 2021

Practice Location

Address
5000 ODONAVAN BLVD STE 404
City
Walker
ZIP Code
70785-6355
Phone
(225) 369-8100

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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