Individual
MR. BRUCE JAMES COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
35271 ACACIA, YUCAIPA, CA 92399
(909) 790-1056
Mailing address
35271 ACACIA, YUCAIPA, CA 92399
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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