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Individual

MS. HARRISON ANNE COLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
119 TRUXTON AVE, FORT WALTON BEACH, FL 32547-2460
(970) 389-4133
Mailing address
119 TRUXTON AVE, FORT WALTON BEACH, FL 32547-2460
(970) 389-4133

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0012574
FL
174400000X
Specialist
Primary
MA0012574
FL

Other

Enumeration date
03/30/2010
Last updated
03/30/2010
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