Individual
DAWN MARIE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
361 W GALBRAITH LINE RD, MELVIN, MI 48454-9733
(248) 214-7812
Mailing address
361 W GALBRAITH LINE RD, MELVIN, MI 48454-9733
(248) 214-7812
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703103342
MI
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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