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Individual
SHERILYN J COOK
Active
Individual
SHERILYN J COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00030004
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0275507
WA STATE DEPARTMENT OF LABOR AND INDUSTRIES PROVIDER ACCOUNT NUMBER
WA
05
—
1851485189
—
WA
01
—
G8898666
PTAN
WA
01
—
P00934257
RAILROAD MEDICARE PTAN
WA
Enumeration date
10/03/2006
Last updated
03/06/2013
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