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Individual

ASIA COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2335 A ALUMNI HALL, EDWARDSVILLE, IL 62026-0001
(618) 650-3283
Mailing address
5203 SYRAH CIR, SAINT PETERS, MO 63304-1121

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.539075
IL
163W00000X
Registered Nurse
2020024228
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/16/2024
Last updated
03/24/2026
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