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Gregory Coles

Nurse's Aide in Philadelphia, PA. Individual provider (NPI-1).

NPI number1477201853
StatusActive
Last updated in NPPESMar 14, 2022

Details

NPI
1477201853
Entity type
Individual (NPI-1)
Name
Gregory Coles
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 14, 2022
Certification date
Mar 14, 2022
Last updated
Mar 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide10048251PAYes

Practice location

2423 N Newkirk St
Philadelphia, PA 19132-3508

Phone 484-686-8342

Mailing address

2423 N Newkirk St
Philadelphia, PA 19132-3508

Phone 484-686-8342

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