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1447638341
COASTAL PEDIATRIC ASSOCIATES, PLLC
WILMINGTON, NC
NPI
1447638341
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Entity Type
Organization
Authorized Contact
THOMAS BLACKSTONE
Managing Member
910-202-8020
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NC 17469)
Enumeration Date
2015-05-12
Last Update Date
2015-05-12
Business Address
COASTAL PEDIATRIC ASSOCIATES, PLLC
3505 CONVERSE DR SUITE 200
WILMINGTON, NC 28403-6131
Phone number: 910-392-5634
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Mailing Address
COASTAL PEDIATRIC ASSOCIATES, PLLC
3505 CONVERSE DR SUITE 200
WILMINGTON, NC 28403-6131
Phone number: 910-392-5634
Copy
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