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1134237308
CLIFFORD M. COSTLEY
MONETT, MO
NPI
1134237308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 36273)
Enumeration Date
2006-08-28
Last Update Date
2012-12-04
Business Address
-- CLIFFORD M. COSTLEY M.D.
2200 E CLEVELAND ST
MONETT, MO 65708-6149
Phone number: 417-236-2600
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Mailing Address
-- CLIFFORD M. COSTLEY M.D.
3800 S NATIONAL AVE #540
SPRINGFIELD, MO 65807-5209
Phone number: 417-236-2600
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