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1275127722
COASTAL DERMATOLOGY PLC
TRAVERSE CITY, MI
NPI
1275127722
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Entity Type
Organization
Authorized Contact
PAULA LYN CAHILL
Sole Member
231-252-3200
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2021-02-25
Last Update Date
2021-02-25
Business Address
COASTAL DERMATOLOGY PLC
954 BUSINESS PARK DR STE 5
TRAVERSE CITY, MI 49686-8763
Phone number: 231-252-3200
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Mailing Address
COASTAL DERMATOLOGY PLC
9900 E CARTER RD
TRAVERSE CITY, MI 49684-5528
Phone number: 231-252-3200
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