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1245998004
IAN MACKENZIE COOK
SANTA MARIA, CA
NPI
1245998004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA60553)
Enumeration Date
2021-11-29
Last Update Date
2023-08-14
Business Address
IAN MACKENZIE COOK PA-C
316 S STRATFORD AVE STE B
SANTA MARIA, CA 93454-5908
Phone number: 805-332-8446
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Mailing Address
IAN MACKENZIE COOK PA-C
316 S STRATFORD AVE STE B
SANTA MARIA, CA 93454-5908
Phone number: 805-332-8446
Copy
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