Individual
DORIAN TERRANCE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
839 W 167TH ST, GARDENA, CA 90247-5160
(323) 377-0145
Mailing address
839 W 167TH ST, GARDENA, CA 90247-5160
(323) 377-0145
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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