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Individual

BRANDY COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15930 CENTRAL AVE, LA PUENTE, CA 91744-5410
(626) 986-2910
Mailing address
15930 CENTRAL AVE, LA PUENTE, CA 91744-5410

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
95081275
CA

Other

Enumeration date
06/30/2020
Last updated
06/30/2020
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