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1033628383
JORDAN FAYTH COOKE
TYLER, TX
NPI
1033628383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA11584)
Enumeration Date
2017-09-28
Last Update Date
2022-02-22
Business Address
JORDAN FAYTH COOKE PA-C
8101 S BROADWAY AVE
TYLER, TX 75703-5469
Phone number: 903-939-7500
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Mailing Address
JORDAN FAYTH COOKE PA-C
3414 GOLDEN RD
TYLER, TX 75701-8336
Phone number: 903-939-7500
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