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Organization

COASTAL CRAFTSMAN BUILDERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN SIMMS (OWNER/OFFICE MANAGER/MEMBER)
(757) 331-3469
Entity
Organization

Contact information

Practice address
2246 SAND HILL DR, CAPE CHARLES, VA 23310-1960
(757) 331-3469
(757) 331-3469
Mailing address
2246 SAND HILL DR, CAPE CHARLES, VA 23310-1960

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
01/20/2009
Last updated
01/20/2009
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