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Organization
COLE BENEFIT GROUP
Active
Organization
COLE BENEFIT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEKA COLE (CEO)
(404) 587-8308
Entity
Organization
Contact information
Practice address
150 W OCEAN BLVD APT 1621, LONG BEACH, CA 90802-5431
(404) 587-8308
Mailing address
150 W OCEAN BLVD APT 1621, LONG BEACH, CA 90802-5431
(404) 587-8308
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
NULL
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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