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1013452515
KRISTEN COSTA
BROOKSVILLE, FL
NPI
1013452515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9283303)
Enumeration Date
2016-12-20
Last Update Date
2016-12-20
Business Address
-- KRISTEN COSTA
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613-5409
Phone number: 352-596-6632
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Mailing Address
-- KRISTEN COSTA
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613-5409
Phone number: 352-596-6632
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