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1215477740
BENJAMIN JAY COOK
SALT LAKE CITY, UT
NPI
1215477740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 10258190-4405)
Enumeration Date
2017-03-02
Last Update Date
2017-03-02
Business Address
-- BENJAMIN JAY COOK NP-C
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-7822
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Mailing Address
-- BENJAMIN JAY COOK NP-C
4605 MOUNTAIN PARK RD
CHUBBUCK, ID 83202-1702
Phone number: 208-403-7689
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