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1578611422
JERRY K MCCOWN
LA JOLLA, CA
NPI
1578611422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA13199)
Enumeration Date
2007-01-08
Last Update Date
2009-06-12
Business Address
Mr. JERRY K MCCOWN PA
10666 N TORREY PINES RD # MS 315
LA JOLLA, CA 92037-1027
Phone number: 858-554-7962
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Mailing Address
Mr. JERRY K MCCOWN PA
FILE # 54433
LOS ANGELES, CA 90074-0001
Phone number: 858-455-9100
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