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1861943623
JASON COLE
SHREVEPORT, LA
NPI
1861943623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-17
Last Update Date
2016-10-17
Business Address
-- JASON COLE
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369
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Mailing Address
-- JASON COLE
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369
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