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1255723375
COAST TO COAST WISCONSIN LLC
WISCONSIN RAPIDS, WI
NPI
1255723375
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Entity Type
Organization
Authorized Contact
MARK BOLTON
CEO
614-855-9961
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2015-02-26
Last Update Date
2015-02-26
Business Address
COAST TO COAST WISCONSIN LLC
410 DEWEY ST
WISCONSIN RAPIDS, WI 54494-4715
Phone number: 715-423-6060
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Mailing Address
COAST TO COAST WISCONSIN LLC
5195 HAMPSTED VILLAGE CENTER WAY #256
NEW ALBANY, OH 43054-8331
Phone number: 614-855-9961
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