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1306277280
STACY CAMERON COOK
CORDOVA, TN
NPI
1306277280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
243U00000X Radiology Practitioner Assistant
(Licence: UT 5614785-5400)
Enumeration Date
2013-12-03
Last Update Date
2013-12-03
Business Address
Mr. STACY CAMERON COOK CBRPA RPA
6847 KERRY VALLEY LN
CORDOVA, TN 38018-2848
Phone number: 435-224-4906
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Mailing Address
Mr. STACY CAMERON COOK CBRPA RPA
6847 KERRY VALLEY LN
CORDOVA, TN 38018-2848
Phone number: 435-224-4906
Copy