Individual
MRS. JAIME MARIE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
268 COE ST, TIFFIN, OH 44883-3158
(567) 207-2051
Mailing address
268 COE ST, TIFFIN, OH 44883-3158
(567) 207-2051
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 110031
OH
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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