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1508148990
SIDNEY COOK
SOUTHAVEN, MS
NPI
1508148990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R854897)
Enumeration Date
2011-09-13
Last Update Date
2019-03-27
Business Address
MR. SIDNEY COOK FNP
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672-9304
Phone number: 662-890-5555
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Mailing Address
MR. SIDNEY COOK FNP
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672-9304
Phone number: 662-890-5555
Copy
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