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1982820031
COASTAL DERMATOLOGY & SURGERY CENTER, PA
WILMINGTON, NC
NPI
1982820031
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Entity Type
Organization
Authorized Contact
HEATHER A LOESCH
Owner President
910-343-0626
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NC 200000526)
Enumeration Date
2007-04-17
Last Update Date
2013-03-13
Business Address
COASTAL DERMATOLOGY & SURGERY CENTER, PA
2504 DELANEY AVENUE
WILMINGTON, NC 28403-6002
Phone number: 910-343-0626
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Mailing Address
COASTAL DERMATOLOGY & SURGERY CENTER, PA
2504 DELANEY AVE
WILMINGTON, NC 28403-6002
Phone number: 910-343-0626
Copy
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