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Individual
MR. ALONZO JACKSON COLE III
Active
Individual
MR. ALONZO JACKSON COLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1487
SC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
2220
NC
Other
Enumeration date
06/30/2008
Last updated
06/15/2017
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