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Individual

RENEE JEAN COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4515 EAST JUNIPER DR UNIT A, USAF ACADEMY, CO 80840
(719) 649-5535
Mailing address
4515 E JUNIPER DR APT A, USAF ACADEMY, CO 80840-1213

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
02/23/2010
Last updated
02/23/2010
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