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1497137939
COLE EDWARDS
MODESTO, CA
NPI
1497137939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-06-21
Last Update Date
2015-06-21
Business Address
-- COLE EDWARDS
406 HACKBERRY AVE
MODESTO, CA 95354-0303
Phone number: 209-543-4804
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Mailing Address
-- COLE EDWARDS
406 HACKBERRY AVE
MODESTO, CA 95354-0303
Phone number:
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