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1033307939
SAMUEL WILLIAM COOK
JOHNSON CITY, TN
NPI
1033307939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 305)
Enumeration Date
2007-10-05
Last Update Date
2019-12-16
Business Address
SAMUEL WILLIAM COOK PAC
2410 SUSANNAH STREET
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
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Mailing Address
SAMUEL WILLIAM COOK PAC
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
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