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1821712654
JACKLINE OTIENO COOK
FORT WORTH, TX
NPI
1821712654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX A)
Enumeration Date
2022-09-26
Last Update Date
2022-09-26
Business Address
JACKLINE OTIENO COOK NP
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104-3104
Phone number: 817-250-4906
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Mailing Address
JACKLINE OTIENO COOK NP
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104-3104
Phone number: 817-250-4906
Copy
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