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1790482693
ELIZABETH GRACE COOKE
LEWISTON, ID
NPI
1790482693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2023-02-10
Last Update Date
2023-02-10
Business Address
ELIZABETH GRACE COOKE BS, BIS, CS
1519 ALDER AVE
LEWISTON, ID 83501-5815
Phone number: 208-503-9104
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Mailing Address
ELIZABETH GRACE COOKE BS, BIS, CS
1519 ALDER AVE
LEWISTON, ID 83501-5815
Phone number: 208-503-9104
Copy
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