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Individual

COLE HEISKALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
3845 SPRING DR, SPRING VALLEY, CA 91977-1030
(619) 525-9903
Mailing address
3255 WING ST, SAN DIEGO, CA 92110-4638

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Enumeration date
02/13/2024
Last updated
11/24/2025
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