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Organization
JACK D COCHRAN
Active
Organization
JACK D COCHRAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DONALD COCHRAN M.D (OWNER)
(951) 737-0110
Entity
Organization
Contact information
Practice address
770 MAGNOLIA AVE, STE 2-C, CORONA, CA 92879
(951) 737-0110
(951) 737-5944
Mailing address
770 MAGNOLIA AVE, STE 2-C, COEONA, CA 92879
(951) 737-0110
(951) 737-5944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207R00000X
CA
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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