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Individual
BRIAN FLETCHER COOKE
Active
Individual
BRIAN FLETCHER COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011671
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811267925
GROUP NPI
SC
Enumeration date
04/12/2010
Last updated
07/23/2012
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