Individual
JENNIFER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
971 SOUTH JIM THORPE BLVD, PRAGUE, OK 74864
(405) 567-2280
(405) 567-2280
Mailing address
PO BOX 971, PRAGUE, OK 74864-0971
(405) 567-5363
(405) 567-2280
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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