Individual
EBONY D COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
816 LINCOLN BLVD, BEDFORD, OH 44146-3732
(216) 256-4733
Mailing address
816 LINCOLN BLVD, BEDFORD, OH 44146-3732
(216) 256-4733
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN121175
OH
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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