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Individual

EDDIE LOU COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 744-3600
Mailing address
1110 ELDON BAKER DR, FLINT, MI 48507-1923

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703034473
MI

Other

Enumeration date
10/16/2007
Last updated
10/16/2007
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