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1740214402
COAST TO COAST MEDICAL, LLC
WEST MEMPHIS, AR
NPI
1740214402
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Entity Type
Organization
Authorized Contact
DEBRA J SHIVERS
Provider
870-732-0332
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-07-10
Last Update Date
2008-12-02
Business Address
COAST TO COAST MEDICAL, LLC
2201 HORIZON DRIVE SUITE 4
WEST MEMPHIS, AR 72301
Phone number: 870-732-0332
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Mailing Address
COAST TO COAST MEDICAL, LLC
2201 HORIZON DRIVE SUITE 4
WEST MEMPHIS, AR 72301
Phone number: 870-732-0332
Copy
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