LARRY DALE COLE

INDIANAPOLIS, IN
NPI1790865244
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
Mr. LARRY DALE COLE
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-2790
Mailing Address
Mr. LARRY DALE COLE
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-988-2790
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