Individual
ALISIA DEANN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
781 BLACK OAK DR, MEDFORD, OR 97504-9502
(541) 789-4712
(541) 789-4060
Mailing address
781 BLACK OAK DR, MEDFORD, OR 97504-9502
(541) 789-4712
(541) 789-4060
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
OR
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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