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1730731928
LARRY C COOK
PRESCOTT, AZ
NPI
1730731928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
126900000X Dental Laboratory Technician
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
LARRY C COOK
2914 JERRY ST
PRESCOTT, AZ 86301-7609
Phone number: 928-778-3571
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Mailing Address
LARRY C COOK
2914 JERRY ST
PRESCOTT, AZ 86301-7609
Phone number: 928-778-3571
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