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1386307478
COASTAL VITALITY, LLC
WILMINGTON, NC
NPI
1386307478
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Entity Type
Organization
Authorized Contact
ZACHARY SHAW
Chiropractor
937-689-2603
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2021-10-16
Last Update Date
2021-10-16
Business Address
COASTAL VITALITY, LLC
7122 MARKET ST STE A-140
WILMINGTON, NC 28411-9890
Phone number: 937-689-2603
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Mailing Address
COASTAL VITALITY, LLC
7122 MARKET ST STE A-140
WILMINGTON, NC 28411-9890
Phone number: 937-689-2603
Copy
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