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1023594579
NATHAN M KOSTIV
CARMICHAEL, CA
NPI
1023594579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: CA 95009504)
Enumeration Date
2018-07-18
Last Update Date
2020-01-09
Business Address
NATHAN M KOSTIV NNP-BC
6501 COYLE AVE
CARMICHAEL, CA 95608-0306
Phone number: 916-537-5135
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Mailing Address
NATHAN M KOSTIV NNP-BC
6501 COYLE AVE
CARMICHAEL, CA 95608-0306
Phone number:
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