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1669456992
SCOTT R COOKLISH
GASTONIA, NC
NPI
1669456992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103508)
Enumeration Date
2005-11-30
Last Update Date
2018-09-10
Business Address
Mr. SCOTT R COOKLISH PA-C
2345 COURT DRIVE
GASTONIA, NC 28054-2176
Phone number: 704-865-0077
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Mailing Address
Mr. SCOTT R COOKLISH PA-C
2345 COURT DRIVE
GASTONIA, NC 28054-2176
Phone number: 704-865-0077
Copy
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