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1003924002
PHILLIP W KOSTROUN
SAN ANTONIO, TX
NPI
1003924002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- PHILLIP W KOSTROUN Registered Dietitian
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Phone number: 210-614-8612
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Mailing Address
-- PHILLIP W KOSTROUN Registered Dietitian
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Phone number: 210-614-8612
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