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1447247523
MARK JOHN COSTANTINO
ATHENS, GA
NPI
1447247523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: GA 15361)
Enumeration Date
2005-10-04
Last Update Date
2011-09-28
Business Address
Dr. MARK JOHN COSTANTINO MD
195 KING AVE
ATHENS, GA 30606-2963
Phone number: 706-549-8306
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Mailing Address
Dr. MARK JOHN COSTANTINO MD
195 KING AVE
ATHENS, GA 30606-2963
Phone number: 706-549-8306
Copy
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