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1396846739
USCG
MOBILE, AL
NPI
1396846739
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Entity Type
Organization
Authorized Contact
JOHN ALLEN
Medical Administrator
251-441-6411
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2006-09-26
Last Update Date
2020-08-22
Business Address
USCG
USCG ATC MOBILE 8501 TANNER WILLIAMS ROAD
MOBILE, AL 36608
Phone number: 251-441-6725
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Mailing Address
USCG
101 FOREMAN ROAD APT C34
MOBILE, AL 36608
Phone number: 707-364-0116
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