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1578833349
KRYSTLE COOKE
PORTLAND, OR
NPI
1578833349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-01-10
Last Update Date
2019-10-05
Business Address
KRYSTLE COOKE
17640 NE HALSEY ST
PORTLAND, OR 97230-6733
Phone number: 503-489-5045
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Mailing Address
KRYSTLE COOKE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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