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1609153006
JEFFREY D COLE
WICHITA, KS
NPI
1609153006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 291)
Enumeration Date
2011-11-14
Last Update Date
2011-11-14
Business Address
-- JEFFREY D COLE Clinical Addiction C
2318 E CENTRAL AVE
WICHITA, KS 67214-4436
Phone number: 316-262-0415
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Mailing Address
-- JEFFREY D COLE Clinical Addiction C
2318 E CENTRAL AVE
WICHITA, KS 67214-4436
Phone number: 316-262-0415
Copy
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