Individual
MRS. MARGE L COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4467 DIVISION ST, WAYLAND, MI 49348-9723
(616) 877-4132
Mailing address
1256 WALKER AVE NW, GRAND RAPIDS, MI 49504-4067
(616) 647-2802
(616) 647-2805
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703012314
MI
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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