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1548296189
COASTAL COSMETIC CENTER, PA
JACKSONVILLE, FL
NPI
1548296189
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Entity Type
Organization
Authorized Contact
SANDRA A HARMS
Administrator
904-332-6774
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
Enumeration Date
2006-06-24
Last Update Date
2020-08-22
Business Address
COASTAL COSMETIC CENTER, PA
4147 SOUTHPOINT DR E
JACKSONVILLE, FL 32216-0996
Phone number: 904-332-6774
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Mailing Address
COASTAL COSMETIC CENTER, PA
4147 SOUTHPOINT DR E
JACKSONVILLE, FL 32216-0996
Phone number: 904-332-6774
Copy
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