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1366997298
CULLEN CONRAD COOKE
DANVILLE, VA
NPI
1366997298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202008324)
Enumeration Date
2016-08-21
Last Update Date
2016-08-21
Business Address
Mr. CULLEN CONRAD COOKE MA, CFY-SLP
625 PINEY FOREST RD STE 407
DANVILLE, VA 24540-2870
Phone number: 434-799-7732
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Mailing Address
Mr. CULLEN CONRAD COOKE MA, CFY-SLP
206 MOUNT VERNON AVE APT A
DANVILLE, VA 24541-2815
Phone number: 803-646-2086
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