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Organization

COURAGEOUS COACHING MT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MIGNON THOMAS LVN (CEO/OWNER)
(409) 679-9338
Entity
Organization

Contact information

Practice address
4385 CORLEY ST, BEAUMONT, TX 77707-4433
(409) 235-1400
(877) 920-1977
Mailing address
4385 CORLEY ST, BEAUMONT, TX 77707-4433
(409) 235-1400
(877) 920-1977

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
01/22/2022
Last updated
01/22/2022
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