COLE JEAVONS

GREENVILLE, MS
NPI1275110603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA6927)
Enumeration Date2021-03-24
Last Update Date2021-03-24
Business Address
COLE JEAVONS PTA
1414 HOSPITAL ST
GREENVILLE, MS 38703-3217
Phone number: 601-946-0312
Mailing Address
COLE JEAVONS PTA
360 W 13TH AVE UNIT 820
DENVER, CO 80204-2728
Phone number: 601-946-0312
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