Individual
JAMIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15910 W COMPANY LAKE RD, HAYWARD, WI 54843-5320
(715) 372-5001
Mailing address
7665 US HIGHWAY 2, IRON RIVER, WI 54847-4690
(715) 372-5001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10643
WI
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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