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1053061275
DANIEL COSTER
GREENVILLE, SC
NPI
1053061275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
DANIEL COSTER
701 GROVE RD
GREENVILLE, SC 29605-4210
Phone number: 864-455-5198
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Mailing Address
DANIEL COSTER
701 GROVE RD
GREENVILLE, SC 29605-4210
Phone number:
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