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1295587756
KOLTEN COOK
LEWISBURG, WV
NPI
1295587756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2024-04-05
Last Update Date
2024-04-05
Business Address
KOLTEN COOK
354 AUSTIN ST APT 301
LEWISBURG, WV 24901-1482
Phone number: 304-667-2968
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Mailing Address
KOLTEN COOK
PO BOX 1226
RUPERT, WV 25984-1226
Phone number:
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