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Individual

MESHELL DENICE COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
6132 HAWKINSVILLE RD, MACON, GA 31216-5848
(478) 788-0066
Mailing address
708 HUNTINGTON CHASE CT, WARNER ROBINS, GA 31088-2659
(478) 714-5790

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN087920
GA

Other

Enumeration date
10/06/2020
Last updated
10/06/2020
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