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Individual
DANIELLE MAE COOK
Active
Individual
DANIELLE MAE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007716
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
380277697
MVP
NY
01
—
82113300803
MVP
NY
Enumeration date
06/02/2021
Last updated
06/02/2021
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