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1437179512
KENNETH COLE
MAGNOLIA, AR
NPI
1437179512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR AT- 165)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
Mr. KENNETH COLE MS, LAT, ATC
100 E UNIVERSITY
MAGNOLIA, AR 71753-2181
Phone number: 870-235-4142
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Mailing Address
Mr. KENNETH COLE MS, LAT, ATC
100 E UNIVERSITY P.O. BOX 8800
MAGNOLIA, AR 71753-2181
Phone number: 870-235-4142
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