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1225092083
JONATHAN DAVID COOK
CARROLLTON, GA
NPI
1225092083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA 002803)
Enumeration Date
2006-04-17
Last Update Date
2007-07-08
Business Address
Mr. JONATHAN DAVID COOK O.T.
812 S PARK ST
CARROLLTON, GA 30117-4412
Phone number: 770-214-7323
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Mailing Address
Mr. JONATHAN DAVID COOK O.T.
812 S PARK ST
CARROLLTON, GA 30117-4412
Phone number: 770-214-7323
Copy
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