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1396771598
JOSEPH HENRY KOSTUCH
COLUMBUS, GA
NPI
1396771598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT005867)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
-- JOSEPH HENRY KOSTUCH PT
2300 MANCHESTER EXPY SUITE 101A
COLUMBUS, GA 31904-6802
Phone number: 706-256-0825
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Mailing Address
-- JOSEPH HENRY KOSTUCH PT
631 LAUREL RIDGE LN
CATAULA, GA 31804-2870
Phone number: 706-593-7540
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