Individual
JULIA ANN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
755 S BECKHAM AVE, TYLER, TX 75701-1903
(903) 534-4684
Mailing address
402 HANKS ST, WHITEHOUSE, TX 75791-3217
(903) 705-8514
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
200926
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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