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Individual

JACQUELINE ANN COX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1640 COWLES ST, SUITE 1, FAIRBANKS, AK 99701-5992
(907) 452-4768
(907) 452-1009
Mailing address
1640 COWLES ST, SUITE 1, FAIRBANKS, AK 99701-5925
(907) 452-4768
(907) 452-1009

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5565
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD 6153
AK
Enumeration date
09/06/2005
Last updated
10/13/2009
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