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Individual

MRS. DONNA SHENA COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2260 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3843
(423) 479-8601
(423) 476-4793
Mailing address
2260 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3843
(423) 479-8601
(423) 476-4793

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9087
TN

Other

Enumeration date
02/09/2010
Last updated
02/09/2010
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