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Individual

JOAN E COLE

Active
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Individual

JOAN E COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.P.

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00016328
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203425
DEPT OF LABOR & INDUSTRIE
WA
01
—
09038
FIRST CHOICE HEALTH
WA
01
—
912025809-07
KPS HEALTH PLANS
WA
Enumeration date
05/20/2007
Last updated
07/08/2007
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