Individual
JESSICA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
87213 14TH ST, ONEILL, NE 68763-5374
(402) 340-1982
Mailing address
87213 14TH ST, ONEILL, NE 68763-5374
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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