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1194197103
KEONDRA COOK
AUGUSTA, GA
NPI
1194197103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN234565)
Enumeration Date
2015-10-29
Last Update Date
2015-10-29
Business Address
-- KEONDRA COOK RN
1350 WALTON WAY
AUGUSTA, GA 30901-2612
Phone number: 706-774-2361
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Mailing Address
-- KEONDRA COOK RN
2712 SPIRIT CREEK RD
HEPHZIBAH, GA 30815-5993
Phone number: 706-495-5841
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