KEVIN DWAYNE COOK

DECATUR, GA
NPI1851724165
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2013-08-11
Last Update Date2013-08-11
Business Address
-- KEVIN DWAYNE COOK CPS
1621 LINE CIR #2
DECATUR, GA 30032-3336
Phone number: 404-838-9936
Mailing Address
-- KEVIN DWAYNE COOK CPS
1621 LINE CIR #2
DECATUR, GA 30032-3336
Phone number: 404-838-9936
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