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1104280395
MARY C COOKE
PATCHOGUE, NY
NPI
1104280395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 876185)
Enumeration Date
2016-04-13
Last Update Date
2016-04-13
Business Address
Mrs. MARY C COOKE RD
101 HOSPITAL RD
PATCHOGUE, NY 11772-4870
Phone number: 631-687-2848
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Mailing Address
Mrs. MARY C COOKE RD
101 HOSPITAL RD
PATCHOGUE, NY 11772-4870
Phone number: 631-687-2848
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