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1790865244
LARRY DALE COLE
INDIANAPOLIS, IN
NPI
1790865244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Mr. LARRY DALE COLE
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-2790
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Mailing Address
Mr. LARRY DALE COLE
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-2790
Copy
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