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Individual

DR. EPHRAIM WELLINGTON WILLIAMS COCKBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
SERGIO CUEVAS ST. #550, SAN JUAN, PR 00918
(361) 876-4477
Mailing address
1033 BROCK DR, CORPUS CHRISTI, TX 78412-3343
(361) 876-4477

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PR

Other

Enumeration date
07/17/2024
Last updated
07/17/2024
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