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Individual

CARMEN COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1865 MCPHERSON ST, NORTH BEND, OR 97459-3409
(541) 401-7205
Mailing address
1735 JUNIPER AVE, COOS BAY, OR 97420-2020
(541) 401-7205

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16625
OR

Other

Enumeration date
10/12/2010
Last updated
06/17/2021
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