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1114480159
SHANE COOK
PHOENIX, AZ
NPI
1114480159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 7407)
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
Mr. SHANE COOK PA
1445 E UTOPIA RD
PHOENIX, AZ 85024-3622
Phone number: 602-312-3505
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Mailing Address
Mr. SHANE COOK PA
1445 E UTOPIA RD
PHOENIX, AZ 85024-3622
Phone number:
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