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1114060142
MICHAEL J. COLE
PROVO, UT
NPI
1114060142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 262229-1206)
Enumeration Date
2007-02-15
Last Update Date
2015-11-24
Business Address
-- MICHAEL J. COLE P.A.
1055 N 500 W STE 101
PROVO, UT 84604-3305
Phone number: 801-373-4366
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Mailing Address
-- MICHAEL J. COLE P.A.
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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