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1780728824
COASTAL GRAND EYE ASSOCIATES LTD. CO.
MYRTLE BEACH, SC
NPI
1780728824
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Entity Type
Organization
Authorized Contact
LAWRENCE RAYMOND CUSTER
Member
843-424-2553
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC SC1237)
Enumeration Date
2007-02-19
Last Update Date
2008-02-27
Business Address
COASTAL GRAND EYE ASSOCIATES LTD. CO.
1512 COASTAL GRAND CIRCLE C 330
MYRTLE BEACH, SC 29577-9779
Phone number: 843-444-0090
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Mailing Address
COASTAL GRAND EYE ASSOCIATES LTD. CO.
PO BOX 50864
MYRTLE BEACH, SC 29579-0015
Phone number: 843-444-0090
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