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1790211795
JUSTIN DON COLE
BROKEN ARROW, OK
NPI
1790211795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OK 82942)
Enumeration Date
2017-05-11
Last Update Date
2017-09-25
Business Address
MR. JUSTIN DON COLE
3325 S 204TH EAST AVE
BROKEN ARROW, OK 74014-5165
Phone number: 918-955-1907
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Mailing Address
MR. JUSTIN DON COLE
2000 S WHEELING AVE STE 701
TULSA, OK 74104-5647
Phone number: 918-748-7810
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