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Individual

GRACE C COOKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4541 E 104TH ST APT 1, GARFIELD HTS, OH 44125-1533
(440) 547-0246
Mailing address
4541 E 104TH ST APT 1, GARFIELD HTS, OH 44125-1533
(440) 547-0246

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
SJ471837
OH

Other

Enumeration date
01/20/2025
Last updated
01/20/2025
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