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1871166835
JUSTIN COLE
FORT WAYNE, IN
NPI
1871166835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22005659A)
Enumeration Date
2021-07-19
Last Update Date
2021-07-19
Business Address
JUSTIN COLE SLP
4638 CRAFTSBURY CIR
FORT WAYNE, IN 46818-2064
Phone number: 260-580-7956
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Mailing Address
JUSTIN COLE SLP
4638 CRAFTSBURY CIR
FORT WAYNE, IN 46818-2064
Phone number: 260-580-7956
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