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1841562410
COASTAL SPINE AND SPORT, LLC
PALM COAST, FL
NPI
1841562410
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Entity Type
Organization
Authorized Contact
MICHAEL OSBORNE
Owner
386-283-5997
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL CH9489)
Enumeration Date
2012-01-30
Last Update Date
2012-01-30
Business Address
COASTAL SPINE AND SPORT, LLC
10 CYPRESS POINT PKWY STE 106
PALM COAST, FL 32164-2503
Phone number: 386-283-5997
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Mailing Address
COASTAL SPINE AND SPORT, LLC
10 CYPRESS POINT PKWY STE 106
PALM COAST, FL 32164-2503
Phone number: 386-283-5997
Copy
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