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Individual
MOYA RACQUEL COOK
Active
Individual
MOYA RACQUEL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007626
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10019630
ATTACHMENT
IL
01
—
103788
HEALTHLINK
—
01
—
10800012002
HEALTH CONNECT
—
01
—
33308
HEALTH ALLIANCE
—
05
—
36062597
—
IL
01
—
80077375
MEDICARE RAILROAD
—
Enumeration date
06/30/2009
Last updated
03/24/2010
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