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Individual

MR. LARRY KRAIG COOK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4760 S PECOS RD, SUITE 200-21, LAS VEGAS, NV 89121-5828
(702) 965-6566
Mailing address
4760 S PECOS RD, SUITE 200-21, LAS VEGAS, NV 89121-5828
(702) 965-6566

Taxonomy

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

Other

Enumeration date
08/15/2012
Last updated
08/15/2012
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