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Individual

KHALIAH SHILEEN COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
308 WEST JOSIE LANE, HAUGHTON, LA 71037
(318) 286-2043
Mailing address
308 WEST JOSIE LANE, HAUGHTON, LA 71037
(318) 286-2043

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
211129
LA

Other

Enumeration date
10/21/2024
Last updated
05/27/2025
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