Individual
LAURA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9726 TOUCHTON RD STE 104, JACKSONVILLE, FL 32246-8305
(904) 620-7996
Mailing address
9803 CREEKFRONT RD APT 207, JACKSONVILLE, FL 32256-8449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5550
FL
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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