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1932756194
CARISSA COLE
URBANA, IL
NPI
1932756194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209019303)
Enumeration Date
2019-08-22
Last Update Date
2019-08-22
Business Address
CARISSA COLE CNP
611 W. PARK ST.
URBANA, IL 61801
Phone number: 217-383-3311
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Mailing Address
CARISSA COLE CNP
611 W. PARK ST. FAPC
URBANA, IL 61801
Phone number:
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