Individual
ANTONIO DEON COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1790 SATURN ST, NEW ORLEANS, LA 70129-2270
(504) 253-4677
Mailing address
4807 KING JOHN WAY, UPPER MARLBORO, MD 20772-5983
(954) 817-3054
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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