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1770137168
ANITA NICHOLE COOK
FAIRFIELD, CA
NPI
1770137168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-07-24
Last Update Date
2023-05-23
Business Address
ANITA NICHOLE COOK
801 EMPIRE ST
FAIRFIELD, CA 94533-5702
Phone number: 707-425-5744
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Mailing Address
ANITA NICHOLE COOK
1207 MCKINLEY ST
FAIRFIELD, CA 94533-5447
Phone number: 707-716-4277
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