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Individual

BOOKER COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3131 PALMER ST, SACRAMENTO, CA 95815-1412
(916) 921-6099
Mailing address
3131 PALMER ST, SACRAMENTO, CA 95815-1412
(916) 921-6099

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/03/2011
Last updated
01/03/2011
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