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1477139301
AMANDA W COOK
GROVE, OK
NPI
1477139301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OK 2571)
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
AMANDA W COOK LPTA
2203 S MAIN ST
GROVE, OK 74344-5329
Phone number: 918-786-3797
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Mailing Address
AMANDA W COOK LPTA
31450 S 616 RD
GROVE, OK 74344-6003
Phone number: 918-964-9994
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