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1992579262
TRAVIS ALAN COOK
CAMP LEJEUNE, NC
NPI
1992579262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: NC 07222805TC)
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
TRAVIS ALAN COOK
1ST MAR RDR BN MRR MARFORSOC
CAMP LEJEUNE, NC 28542
Phone number: 910-440-3136
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Mailing Address
TRAVIS ALAN COOK
204 EGRET POINT DR
SNEADS FERRY, NC 28460-9464
Phone number: 956-279-0404
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