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Individual
LAURA JO COOK
Active
Individual
LAURA JO COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
92583
SC
363L00000X
Nurse Practitioner
26069
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
26069
SC
Other
Enumeration date
04/21/2022
Last updated
06/07/2022
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