Individual
JUSTIN LEE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 573-3812
Mailing address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 573-3812
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
02/21/2020
Last updated
06/08/2020
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