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1689048340
LOREN COOKE
FT WINGATE, NM
NPI
1689048340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2015-11-18
Last Update Date
2015-11-18
Business Address
MR. LOREN COOKE
567F SWEETWATER RD
FT WINGATE, NM 87316
Phone number: 505-979-1126
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Mailing Address
MR. LOREN COOKE
PO BOX 282
FT WINGATE, NM 87316
Phone number: 505-979-1126
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