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1356784292
NICOLE KOSAKOWSKI
JACKSONVILLE, NC
NPI
1356784292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-09068)
Enumeration Date
2013-04-10
Last Update Date
2023-11-03
Business Address
NICOLE KOSAKOWSKI PA
120 MEMORIAL DR
JACKSONVILLE, NC 28546-6328
Phone number: 910-353-0581
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Mailing Address
NICOLE KOSAKOWSKI PA
PO BOX 986513 DEPT 100
BOSTON, MA 02298-6513
Phone number: 910-219-8326
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