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Individual

KASEY JO COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1021 STATE ROUTE 44 N, COUDERSPORT, PA 16915-7956
(814) 203-5596
Mailing address
1021 STATE ROUTE 44 N, COUDERSPORT, PA 16915-7956
(814) 203-5596

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/19/2021
Last updated
04/19/2021
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