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Individual

TINA COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1221 E CYPRESS AVE SPC 25A, REDDING, CA 96002-1137
(530) 604-4782
Mailing address
PO BOX 219, PALO CEDRO, CA 96073-0219

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Enumeration date
02/14/2015
Last updated
02/14/2015
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