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1437178365
JERRY DANIEL COLE
FONTANA, CA
NPI
1437178365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 27438)
Enumeration Date
2006-07-19
Last Update Date
2007-12-18
Business Address
Mr. JERRY DANIEL COLE RPH
16854 IVY AVE SUITE C
FONTANA, CA 92335
Phone number: 909-356-0110
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Mailing Address
Mr. JERRY DANIEL COLE RPH
488 HIGHWAY 2
WRIGHTWOOD, CA 92397
Phone number: 760-249-6505
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