Individual
CHARISSA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9050 CENTRE POINTE DR, WEST CHESTER, OH 45069-4874
(513) 317-2221
Mailing address
6304 COUNCILRIDGE CT, LOVELAND, OH 45140-7507
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
332744
OH
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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