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1700378403
JEFFREY S COOK
DOTHAN, AL
NPI
1700378403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-069481)
Enumeration Date
2018-05-30
Last Update Date
2018-06-01
Business Address
JEFFREY S COOK CRNP
1146 ROSS CLARK CIR
DOTHAN, AL 36301
Phone number: 334-618-7313
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Mailing Address
JEFFREY S COOK CRNP
1150 ROSS CLARK CIR
DOTHAN, AL 36301-3022
Phone number: 334-712-1929
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