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DR. NICKLAUS COLE BLUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
875 UNION AVE STE C211, MEMPHIS, TN 38103-3513
(901) 448-6233
Mailing address
1293 ISLAND PLACE EAST, MEMPHIS, TN 38103
(601) 551-2583

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
TN

Other

Enumeration date
05/16/2024
Last updated
05/16/2024
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