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Individual

MRS. DANIELLE RENE' COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
740 EASTERN AVE, FOSTORIA, OH 44830-2721
(419) 701-7221
(419) 934-6114
Mailing address
740 EASTERN AVE, FOSTORIA, OH 44830-2721
(419) 701-7221
(419) 934-6114

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 125221
OH

Other

Enumeration date
08/17/2010
Last updated
08/17/2010
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