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1376532788
GULF COAST DERMATOLOGY, PA
GULFPORT, MS
NPI
1376532788
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Entity Type
Organization
Authorized Contact
GWENDOLYN A CRANE
Physician
228-868-4006
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: MS 14316)
Enumeration Date
2005-10-18
Last Update Date
2009-08-20
Business Address
GULF COAST DERMATOLOGY, PA
1304 44TH AVE
GULFPORT, MS 39501-2552
Phone number: 228-868-4006
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Mailing Address
GULF COAST DERMATOLOGY, PA
1304 44TH AVE
GULFPORT, MS 39501-2552
Phone number: 228-868-4006
Copy
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