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Individual
ABDUL TEJAN COLE
Active
Individual
ABDUL TEJAN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN677631
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP026961
PA
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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