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1891408399
COREY T KOCISKO
COOKEVILLE, TN
NPI
1891408399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA 143807)
Enumeration Date
2022-12-29
Last Update Date
2022-12-29
Business Address
COREY T KOCISKO CRNA
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501-4294
Phone number: 931-528-2541
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Mailing Address
COREY T KOCISKO CRNA
7312 MARTINGALE DR
POWELL, TN 37849-5159
Phone number: 731-307-0360
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