MR. Justin Don Cole

NPI #1790211795 in Broken Arrow, Oklahoma

Provider Information

NPI Number
1790211795
Entity Type
Individual
Name
MR. Justin Don Cole
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
May 11, 2017
Last Updated
Sep 25, 2017

Practice Location

Address
3325 S 204TH EAST AVE
ZIP Code
74014-5165
Phone
(918) 955-1907

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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