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1942290416
JAIMIE C COSSEY
MODESTO, CA
NPI
1942290416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: CA PA15516)
Enumeration Date
2005-10-26
Last Update Date
2013-04-03
Business Address
JAIMIE C COSSEY PA-C
1409 E BRIGGSMORE AVE
MODESTO, CA 95355-2707
Phone number: 209-247-7670
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Mailing Address
JAIMIE C COSSEY PA-C
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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