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1508120775
CHARLES COOK
GAINESVILLE, FL
NPI
1508120775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-07-02
Last Update Date
2012-07-02
Business Address
-- CHARLES COOK
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
-- CHARLES COOK
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number:
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