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1760577043
KELLY R COOK
COPPELL, TX
NPI
1760577043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA03756)
Enumeration Date
2006-10-04
Last Update Date
2009-06-23
Business Address
-- KELLY R COOK PA
580 S DENTON TAP RD STE 123
COPPELL, TX 75019-4099
Phone number: 972-462-0762
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Mailing Address
-- KELLY R COOK PA
580 S DENTON TAP RD STE 123
COPPELL, TX 75019-4099
Phone number: 972-462-0762
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