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Individual

LYNETTE COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1121 S 3RD AVE, PHOENIX, AZ 85003-2614
(602) 257-3904
Mailing address
3618 W PEORIA AVE, PHOENIX, AZ 85029-4038

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN053557
AZ

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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