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1083847628
NICOLE KOSTARELLAS
EVERETT, MA
NPI
1083847628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MA 3822)
Enumeration Date
2009-08-31
Last Update Date
2009-09-11
Business Address
-- NICOLE KOSTARELLAS PA-C
103 GARLAND ST
EVERETT, MA 02149-5066
Phone number: 617-381-7150
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Mailing Address
-- NICOLE KOSTARELLAS PA-C
103 GARLAND ST
EVERETT, MA 02149-5066
Phone number: 617-381-7150
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