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1740610781
RONNIE TRAVIS COOK
GORDON, KY
NPI
1740610781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A03025)
Enumeration Date
2013-11-12
Last Update Date
2013-11-12
Business Address
-- RONNIE TRAVIS COOK PTA
5773 HIGHWAY 510
GORDON, KY 41819-8941
Phone number: 606-505-0020
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Mailing Address
-- RONNIE TRAVIS COOK PTA
5773 HIGHWAY 510
GORDON, KY 41819-8941
Phone number: 606-505-0020
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