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Individual

JENNIFER S COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
26000
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083609358
IA
01
175679
MEDICARE
05
205746605
MO
Enumeration date
09/13/2005
Last updated
11/17/2011
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