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1326596396
CONSTANTINA KOSTKA
BRIGHTON, MA
NPI
1326596396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: MA S71060502)
Enumeration Date
2016-09-19
Last Update Date
2016-09-19
Business Address
CONSTANTINA KOSTKA PA
1560 COMMONWEALTH AVE APT. #16
BRIGHTON, MA 02135-5038
Phone number: 617-312-5056
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Mailing Address
CONSTANTINA KOSTKA PA
1560 COMMONWEALTH AVE APT. #16
BRIGHTON, MA 02135-5038
Phone number: 617-312-5056
Copy
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