Individual
SAMANTHA JOLYN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 IRVINE BRIDGE RD, DOUGLAS, WY 82633-8914
(307) 351-1520
Mailing address
150 IRVINE BRIDGE RD, DOUGLAS, WY 82633-8914
(307) 351-1520
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000042317
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
05/31/2019
Last updated
06/17/2021
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