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1124157722
CHARLES LEO COSTER
JASPER, GA
NPI
1124157722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 04754)
Enumeration Date
2007-03-02
Last Update Date
2008-07-07
Business Address
Dr. CHARLES LEO COSTER D.O
91 SAMMY MCGHEE BLVD SUITE 101
JASPER, GA 30143-7703
Phone number: 706-253-6200
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Mailing Address
Dr. CHARLES LEO COSTER D.O
91 SAMMY MCGHEE BLVD SUITE 101
JASPER, GA 30143-7703
Phone number: 706-253-6200
Copy
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