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1942044847
COLE MICHAEL ENSIGN
SAN DIEGO, CA
NPI
1942044847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-06-24
Last Update Date
2024-07-15
Business Address
COLE MICHAEL ENSIGN
5400 KEARNY MESA RD
SAN DIEGO, CA 92111-1303
Phone number: 619-207-9808
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Mailing Address
COLE MICHAEL ENSIGN
5400 KEARNY MESA RD
SAN DIEGO, CA 92111-1303
Phone number: 619-207-9808
Copy
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