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Individual
MARCUS WARREN COOKSEY
Active
Individual
MARCUS WARREN COOKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NPF
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP17762
CA
363L00000X
Nurse Practitioner
Primary
NPF17762
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
05
—
22959
—
OR
Enumeration date
03/14/2008
Last updated
06/09/2014
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