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1821518952
BRIAN J COOKSEY
ATWATER, CA
NPI
1821518952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2017-06-20
Last Update Date
2017-06-20
Business Address
BRIAN J COOKSEY
1903 CORDELIA DR
ATWATER, CA 95301-5300
Phone number: 209-777-9625
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Mailing Address
BRIAN J COOKSEY
1903 CORDELIA DR
ATWATER, CA 95301-5300
Phone number: 209-777-9625
Copy
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