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1598712986
JOSE A MARROQUIN
COOS BAY, OR
NPI
1598712986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA00273)
Enumeration Date
2006-05-30
Last Update Date
2010-12-14
Business Address
-- JOSE A MARROQUIN PA
1900 WOODLAND DR
COOS BAY, OR 97420-2045
Phone number: 541-267-5151
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Mailing Address
-- JOSE A MARROQUIN PA
1900 WOODLAND DR
COOS BAY, OR 97420-2045
Phone number: 541-267-5151
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