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1235761818
JESSA COOK
MERIDIAN, ID
NPI
1235761818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-656)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
JESSA COOK ATL, ATC
3399 E LOUISE DR
MERIDIAN, ID 83642-5211
Phone number: 208-706-2663
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Mailing Address
JESSA COOK ATL, ATC
3904 N MOUNTAIN VIEW CIR
BOISE, ID 83704-3563
Phone number: 719-352-1848
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