Individual
MR. JAY MARK COOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
31115 HIGHWAY 94, CAMPO, CA 91906
(619) 445-6200
Mailing address
807 E MAIN ST, APT 6110, DURHAM, NC 27701-4077
(814) 266-8696
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001083L
PA
Other
Enumeration date
07/06/2006
Last updated
07/12/2018
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