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1265491302
MELISSA I COSTNER
ADDISON, TX
NPI
1265491302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: TX J5980)
Enumeration Date
2006-03-18
Last Update Date
2020-10-27
Business Address
MELISSA I COSTNER MD
17051 DALLAS PKWY STE 350
ADDISON, TX 75001-7107
Phone number: 214-702-0029
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Mailing Address
MELISSA I COSTNER MD
17051 DALLAS PKWY STE 350
ADDISON, TX 75001-7107
Phone number: 214-702-0029
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