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Individual

BINTOU COLE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3049 BOSSHARD DR, FITCHBURG, WI 53711-5861
(608) 276-0144
Mailing address
5426 KATIE LN, MADISON, WI 53704-8950
(608) 241-0636

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38257800
WI
Enumeration date
05/25/2006
Last updated
07/09/2007
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