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1205145455
COASTAL EYE GROUP, P.C..
LAKE CITY, SC
NPI
1205145455
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Entity Type
Organization
Authorized Contact
FRANK KEENAN SLOAN
President
843-449-7115
Organization Subpart ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 495)
Enumeration Date
2010-10-05
Last Update Date
2010-10-05
Business Address
COASTAL EYE GROUP, P.C..
123 EPPS ST
LAKE CITY, SC 29560-2449
Phone number: 843-374-5487
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Mailing Address
COASTAL EYE GROUP, P.C..
123 EPPS ST
LAKE CITY, SC 29560-2449
Phone number: 843-374-5487
Copy
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