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1265778534
MATTHEW DAVID COSTAIN
SAINT PAUL, MN
NPI
1265778534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R 195632-8)
Enumeration Date
2012-12-14
Last Update Date
2019-01-31
Business Address
Mr. MATTHEW DAVID COSTAIN CRNA
333 SMITH AVE N
SAINT PAUL, MN 55102-2344
Phone number: 651-262-9000
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Mailing Address
Mr. MATTHEW DAVID COSTAIN CRNA
4537 46TH AVE S
MINNEAPOLIS, MN 55406-3619
Phone number: 303-905-6150
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