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1467401802
GEORGE J COSTANZO
SOUTHINGTON, CT
NPI
1467401802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 8461)
Enumeration Date
2006-05-10
Last Update Date
2019-09-06
Business Address
Dr. GEORGE J COSTANZO D.C.
340 N MAIN ST
SOUTHINGTON, CT 06489-2529
Phone number: 860-621-0131
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Mailing Address
Dr. GEORGE J COSTANZO D.C.
340 N MAIN ST
SOUTHINGTON, CT 06489-2529
Phone number: 860-621-0131
Copy
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