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1073016549
ANDREW JASON COSTIN
LAS CRUCES, NM
NPI
1073016549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NM CRNA-01536)
Enumeration Date
2018-03-12
Last Update Date
2023-07-23
Business Address
ANDREW JASON COSTIN
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011-5069
Phone number: 575-522-8641
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Mailing Address
ANDREW JASON COSTIN
4161 PURPLE SAGE DR
LAS CRUCES, NM 88011-4377
Phone number:
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