Individual
MS. SARA C COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1207 SE RASMUSSEN BLVD, BATTLE GROUND, WA 98604-8618
(360) 687-2701
Mailing address
20317 NE 174TH ST, BRUSH PRAIRIE, WA 98606-8799
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00023235
WA
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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