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Individual
MR. WILLIE FRANK COOK JR.
Active
Individual
MR. WILLIE FRANK COOK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
SC019495
SC
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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