NICHOLAS IVAR COOKSON

WARWICK, RI
NPI1104318427
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: RI  PA01048)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2018-06-01
Last Update Date2021-05-21
Business Address
NICHOLAS IVAR COOKSON
127 PROSPECT ST
WARWICK, RI 02886-7138
Phone number: 401-595-7832
Mailing Address
NICHOLAS IVAR COOKSON
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number: 401-444-6779
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