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1871033373
COLE FULTON
MILWAUKEE, WI
NPI
1871033373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18059-130)
Enumeration Date
2017-03-02
Last Update Date
2017-03-02
Business Address
-- COLE FULTON
1863 N FARWELL AVE
MILWAUKEE, WI 53202-1707
Phone number: 414-273-8484
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Mailing Address
-- COLE FULTON
1863 N FARWELL AVE
MILWAUKEE, WI 53202-1707
Phone number:
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