Individual
DONNA LYNN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7586 FAIRLANE AVE, BROOKSVILLE, FL 34613-7333
(585) 967-7694
Mailing address
7586 FAIRLANE AVE, BROOKSVILLE, FL 34613-7333
(585) 967-7694
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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