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1811936321
EDWARD R COOK
GRANTS PASS, OR
NPI
1811936321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OR 098007205)
Enumeration Date
2006-06-06
Last Update Date
2007-07-08
Business Address
Mr. EDWARD R COOK CRNA
1601 NW HAWTHORNE AVE
GRANTS PASS, OR 97526-1041
Phone number: 541-472-4884
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Mailing Address
Mr. EDWARD R COOK CRNA
5319 SW WESTGATE DR #241
PORTLAND, OR 97221-2432
Phone number: 503-297-7223
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