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1669453221
KIM G COLE
LAKELAND, FL
NPI
1669453221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA 2993)
Enumeration Date
2005-11-10
Last Update Date
2011-04-20
Business Address
Mr. KIM G COLE PA
202 LAKE MIRIAM DR STE S1
LAKELAND, FL 33813-2188
Phone number: 863-647-2333
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Mailing Address
Mr. KIM G COLE PA
202 LAKE MIRIAM DR STE S1
LAKELAND, FL 33813-2188
Phone number: 863-647-2333
Copy
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