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1689110066
TASHA R COCKRUM
FRESNO, CA
NPI
1689110066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 56921)
Enumeration Date
2017-01-10
Last Update Date
2023-10-06
Business Address
TASHA R COCKRUM PA-C
7585 N CEDAR AVE STE 102
FRESNO, CA 93720-2763
Phone number: 559-243-1232
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Mailing Address
TASHA R COCKRUM PA-C
PO BOX 1023
ROSEBURG, OR 97470-0232
Phone number: 541-440-6390
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