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1134214331
COASTAL CHRONIC PAIN SERVICES, PLLC
GULFPORT, MS
NPI
1134214331
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Entity Type
Organization
Authorized Contact
DIANE SCHULTZ
Director
228-831-0204
Organization Subpart ?
Yes
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
Enumeration Date
2006-10-04
Last Update Date
2018-11-09
Business Address
COASTAL CHRONIC PAIN SERVICES, PLLC
15190 COMMUNITY RD STE 230B
GULFPORT, MS 39503-3483
Phone number: 228-831-0050
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Mailing Address
COASTAL CHRONIC PAIN SERVICES, PLLC
15190 COMMUNITY RD STE 230B
GULFPORT, MS 39503-3483
Phone number: 228-831-0050
Copy
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