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1174985329
GEORGE COASTA
NORTH BRUNSWICK, NJ
NPI
1174985329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2016-03-27
Last Update Date
2016-03-27
Business Address
-- GEORGE COASTA
118 DILLION CT
NORTH BRUNSWICK, NJ 08902-5503
Phone number: 614-264-0873
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Mailing Address
-- GEORGE COASTA
118 DILLION CT
NORTH BRUNSWICK, NJ 08902-5503
Phone number: 614-264-0873
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