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Individual

JESSE COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 STATE ST, MCCALL, ID 83638-3704
(208) 630-2283
Mailing address
1000 STATE ST, MCCALL, ID 83638-3704

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6448
ID

Other

Enumeration date
12/20/2019
Last updated
12/20/2019
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