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1124543707
ETHAN PAUL COLE
FAYETTEVILLE, AR
NPI
1124543707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-04
Last Update Date
2017-08-04
Business Address
ETHAN PAUL COLE
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4591
Phone number: 479-443-6496
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Mailing Address
ETHAN PAUL COLE
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4591
Phone number:
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