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1265904825
TINA COCHRAN
DOTHAN, AL
NPI
1265904825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-100682)
Enumeration Date
2018-12-20
Last Update Date
2021-03-03
Business Address
TINA COCHRAN
210 WESTSIDE DR
DOTHAN, AL 36303-1928
Phone number: 334-793-5074
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Mailing Address
TINA COCHRAN
PO BOX 6599
DOTHAN, AL 36302-6599
Phone number: 334-793-5000
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