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Individual

DEBRA COCHRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC, VATL

Contact information

Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(515) 360-4281
Mailing address
1732 LESLIE LN, HENRICO, VA 23228-1549
(515) 360-4281

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001573
VA

Other

Enumeration date
07/29/2013
Last updated
08/26/2013
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