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1417118324
COLE SMALL
TWIN FALLS, ID
NPI
1417118324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: ID PT-2374)
Enumeration Date
2008-06-23
Last Update Date
2018-02-15
Business Address
COLE SMALL DPT
775 POLE LINE RD W
TWIN FALLS, ID 83301-5814
Phone number: 208-814-2570
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Mailing Address
COLE SMALL DPT
775 POLE LINE RD W STE 202
TWIN FALLS, ID 83301-5820
Phone number: 208-814-2570
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