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1225066517
JEZERIAH WAYNE COOK
HAMPTON, VA
NPI
1225066517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110002140)
Enumeration Date
2006-06-28
Last Update Date
2014-05-16
Business Address
MR. JEZERIAH WAYNE COOK PA-C
9 MANHATTAN SQ STE A
HAMPTON, VA 23666-6262
Phone number: 757-838-6335
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Mailing Address
MR. JEZERIAH WAYNE COOK PA-C
9 MANHATTAN SQ STE A
HAMPTON, VA 23666-6262
Phone number: 757-838-6335
Copy
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