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1346261096
JIMY ROGER COOK
CAMP PENDLETON, CA
NPI
1346261096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 650309)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
-- JIMY ROGER COOK ENP/FNP
CAMP PENDLETON NAVAL HOSPITAL
CAMP PENDLETON, CA 92055-5191
Phone number: 760-725-1184
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Mailing Address
-- JIMY ROGER COOK ENP/FNP
33123 TIVOLI ST
TEMECULA, CA 92592-4370
Phone number: 951-699-9949
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