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Individual

MR. COLE HAMILTON WYATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
592 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 891-2999
Mailing address
710 WALNUT ST, APT. 5, CHICO, CA 95928-4938
(916) 333-9040

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/24/2009
Last updated
11/24/2009
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