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Individual

JOCELYN MARIE COBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400
(401) 729-2127
Mailing address
111 BREWSTER ST, WOOD BLDG #516, PAWTUCKET, RI 02860-4474
(401) 729-3481
(401) 729-2721

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00522
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0013420
MEDICARE PTAN
RI
05
JC77776
RI
Enumeration date
10/07/2009
Last updated
10/13/2015
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