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Organization
VANESSA COBLE
Active
Organization
VANESSA COBLE
Active
Other names
Vanessa Coble
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA COBLE PH.D. (PRESIDENT)
(336) 227-0730
Entity
Organization
Contact information
Practice address
540 W ELM ST, GRAHAM, NC 27253-2158
(336) 227-0730
(336) 227-0732
Mailing address
540 W ELM ST, GRAHAM, NC 27253-2158
(336) 227-0730
(336) 227-0732
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
01040
NC
332BC3200X
Customized Equipment (DME)
Primary
01040
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010186889
—
VA
Enumeration date
08/07/2014
Last updated
08/07/2014
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