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1396078481
DOMINICK COSTANZA
WEXFORD, PA
NPI
1396078481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: PA PC004489)
Enumeration Date
2009-09-08
Last Update Date
2009-09-08
Business Address
DOMINICK COSTANZA
306 OSPREY CT
WEXFORD, PA 15090-2509
Phone number: 724-331-4306
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Mailing Address
DOMINICK COSTANZA
306 OSPREY CT
WEXFORD, PA 15090-2509
Phone number: 724-331-4306
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