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1528817046
NICKLAUS COLE BLUE
MEMPHIS, TN
NPI
1528817046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TN 390200000X)
Enumeration Date
2024-05-16
Last Update Date
2024-05-16
Business Address
Dr. NICKLAUS COLE BLUE DMD
875 UNION AVE STE C211
MEMPHIS, TN 38103-3513
Phone number: 901-448-6233
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Mailing Address
Dr. NICKLAUS COLE BLUE DMD
1293 ISLAND PLACE EAST
MEMPHIS, TN 38103
Phone number: 601-551-2583
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