SEAN E COOK

CALDWELL, ID
NPI1891310892
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: ID  64857)
Enumeration Date2020-06-15
Last Update Date2020-06-15
Business Address
SEAN E COOK
211 E LOGAN ST
CALDWELL, ID 83605-4882
Phone number: 208-963-1871
Mailing Address
SEAN E COOK
1743 N WINDSOR PARK CT
MIDDLETON, ID 83644-5672
Phone number: 208-965-3517
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