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Individual

DEUNDRA T COOKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
102 BUFORD AVE, ANDERSON, SC 29621-3363
(864) 261-9506
Mailing address
15 RIVERBED DR, GREENVILLE, SC 29605-6425

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22322
SC

Other

Enumeration date
10/16/2018
Last updated
10/16/2018
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