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1700887262
CHARLES L COATS
FORT WAYNE, IN
NPI
1700887262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01053073A)
Enumeration Date
2005-08-09
Last Update Date
2015-06-12
Business Address
-- CHARLES L COATS MD
1330 N COLISEUM BLVD
FORT WAYNE, IN 46805-5526
Phone number: 260-447-8982
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Mailing Address
-- CHARLES L COATS MD
1330 N COLISEUM BLVD
FORT WAYNE, IN 46805-5526
Phone number: 260-447-8982
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