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1588053052
JUSTIN COLE
LAUREL, MS
NPI
1588053052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS R885111)
Enumeration Date
2015-01-21
Last Update Date
2021-05-24
Business Address
JUSTIN COLE NP
1203 JEFFERSON ST
LAUREL, MS 39440-4354
Phone number: 601-649-2863
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Mailing Address
JUSTIN COLE NP
PO BOX 23666
JACKSON, MS 39225-3666
Phone number: 601-200-4560
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