Individual
COLE BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2830 E BROWN RD STE 1, MESA, AZ 85213-5431
(602) 910-1409
Mailing address
3921 W IVANHOE ST UNIT 182, CHANDLER, AZ 85226-2260
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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