Individual
JEREMIAH COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 614-1400
Mailing address
2740 W 86TH AVE APT 193, WESTMINSTER, CO 80031-3832
(850) 544-1565
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
46869
CO
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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