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1912508425
COLE EDWARD MACKE
BREMERTON, WA
NPI
1912508425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA OL61290726)
Enumeration Date
2020-11-03
Last Update Date
2023-03-22
Business Address
Mr. COLE EDWARD MACKE DO
4207 KITSAP WAY
BREMERTON, WA 98312-2447
Phone number: 360-415-1080
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Mailing Address
Mr. COLE EDWARD MACKE DO
4207 KITSAP WAY
BREMERTON, WA 98312-2447
Phone number: 360-415-1080
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