Individual
MR. MICHAEL DEAN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7612 TIERRA LAWN CT, SACRAMENTO, CA 95828-2318
(916) 271-0806
(916) 383-1726
Mailing address
7612 TIERRA LAWN CT, SACRAMENTO, CA 95828-2318
(916) 271-0806
(916) 383-1726
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C0025623
CA
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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