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1063061372
REGINALD EUGENE COLE
BARSTOW, CA
NPI
1063061372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
REGINALD EUGENE COLE
222 E MAIN ST STE 117
BARSTOW, CA 92311-2361
Phone number: 760-255-1496
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Mailing Address
REGINALD EUGENE COLE
222 E MAIN ST STE 117
BARSTOW, CA 92311-2361
Phone number: 760-255-1496
Copy
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