Individual
DEBORAH COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 NORTH MAIN, SUITE 4, PANGUITCH, UT 84759
(435) 676-2599
(435) 676-2585
Mailing address
609 NORTH MAIN, SUITE 4, PANGUITCH, UT 84759
(435) 676-2599
(435) 676-2585
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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