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Individual

CHRIS J COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PDHA II

Contact information

Practice address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-6678
(907) 463-4032
Mailing address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-6678
(907) 463-4032

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06-035-PDHA II
COMMUNITY HEALTH AIDE PROGRAM CERTIFICATION BOARD- FEDERAL CERTIFICATION
AK
Enumeration date
04/19/2012
Last updated
04/19/2012
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