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1407078538
JERRY KEVIN COLE
BOISE, ID
NPI
1407078538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D3034)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
DR. JERRY KEVIN COLE DDS
305 W IDAHO ST
BOISE, ID 83702
Phone number: 208-343-7271
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Mailing Address
DR. JERRY KEVIN COLE DDS
305 W IDAHO ST
BOISE, ID 83702
Phone number: 208-343-7271
Copy
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