Individual
ANTONIA STEPLE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 SE VIEWMONT AVE, CORVALLIS, OR 97333-1968
(541) 766-6000
(541) 766-6047
Mailing address
701 DALLAS CT, GREENWOOD, SC 29646-2889
(347) 964-3449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
231486
SC
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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