person
Gary A Cochran
Optician in Kosciusko, Mississippi
NPI 1760673982

Gary A Cochran is a Optician based in Kosciusko, MS and is specialized in Optician. Gary A Cochran practices in Kosciusko, MS. The NPI Number for Gary A Cochran is 1760673982 and holds a License No. 19260 (Mississippi).

The current practice location address for Gary A Cochran is 118 West North St, Kosciusko, MS and can be reached out via phone at 662-289-9581 and via fax at 662-289-9967. You can also correspond with Gary A Cochran through the mailing address at PO BOX 960, KOSCIUSKO, MS - 39090-0960 (mailing address contact number: 662-289-9581).

Location: 118 West North St, Kosciusko, MS, 39090-0960
person
Provider Profile Details
NPI Number
1760673982
Provider Name
Gary A Cochran
Credential
Provider Entity Type
Individual
Gender
Male
Address
118 West North St, Kosciusko, MS, 39090-0960
Phone Number
662-289-9581
Fax Number
662-289-9967
Provider Enumeration Date
08/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00089021 05 MS
institution
Provider Business Practice Location Address Details
Address
118 West North St
City
State
Zip
39090
Phone Number
662-289-9581
Fax Number
662-289-9967
person
Provider Business Mailing Address Details
Address
118 West North St
City
State
Zip
39090
Phone Number
662-289-9581
Fax Number
662-289-9967
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
19260 (Mississippi)
Definition
Definition to come...
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