Individual
JESSICA GRACEMARIE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
625 ALBANY AVE, TORRINGTON, WY 82240-1530
(307) 532-2107
Mailing address
3657 BIG HORN ST, TORRINGTON, WY 82240-1505
(055) 805-6696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18259A
WY
390200000X
Student in an Organized Health Care Education/Training Program
TL.0009382
CO
Other
Enumeration date
05/20/2022
Last updated
07/31/2025
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