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Organization
US COAST GUARD
Active
Organization
US COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILLYNDA WILLIAMS (HSC)
(410) 636-7506
Entity
Organization
Contact information
Practice address
2401 HAWKINS POINT RD, BALTIMORE, MD 21226-1797
(410) 636-7506
Mailing address
2401 HAWKINS POINT RD, BALTIMORE, MD 21226-1797
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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