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1992322010
TYRA COLE
GRETNA, LA
NPI
1992322010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-07-06
Last Update Date
2020-07-14
Business Address
TYRA COLE
405 GRETNA BLVD STE 112
GRETNA, LA 70053-4945
Phone number: 504-368-5905
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Mailing Address
TYRA COLE
405 GRETNA BLVD STE 112
GRETNA, LA 70053-4945
Phone number: 504-368-5905
Copy
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