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Individual

LAMARCUS L COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
236 4TH ST APT 17, DE WITT, IA 52742-2133
(563) 223-3642
Mailing address
236 4TH ST APT 17, DE WITT, IA 52742-2133
(563) 223-3642

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IA

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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