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Individual

KYLEE CROCKETT COOK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
7754 FLORIDA BLVD, BATON ROUGE, LA 70806-4706
(225) 928-9939
Mailing address
6751 SANDY CREEK LN, ZACHARY, LA 70791-2697
(225) 570-2353

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
876698
CA

Other

Enumeration date
06/13/2006
Last updated
07/08/2007
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