Individual
MS. DAWN DIANE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2233 NW 41ST ST STE 200F, GAINESVILLE, FL 32606-7538
(210) 414-2596
Mailing address
3411 NW 37TH ST, GAINESVILLE, FL 32605-2044
(210) 414-2596
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58939
FL
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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