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Individual

VICKIE COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3201 W. KEISER AVE, OSCEOLA, AR 72370
(870) 622-0592
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72401
(870) 622-0592
(870) 622-0782

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L38035
AR

Other

Enumeration date
03/01/2007
Last updated
02/08/2012
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