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Individual
MARCOS E COTA
Active
Individual
MARCOS E COTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2791
NV
363A00000X
Physician Assistant
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250024086
—
NV
01
—
V78076
PTAN
NV
Enumeration date
08/02/2021
Last updated
04/11/2023
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