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Individual

VICKI L. COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
161 MARGINAL WAY, PORTLAND, ME 04101-2438
(207) 773-7964
Mailing address
161 MARGINAL WAY, PORTLAND, ME 04101-2438

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP191128
ME

Other

Enumeration date
06/14/2019
Last updated
09/08/2022
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