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1467430918
MICHELLE RENEE KOSTELAC
HARRISBURG, PA
NPI
1467430918
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Former Name
MICHELLE RENEE LAMB
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA053165)
Enumeration Date
2006-01-05
Last Update Date
2011-08-17
Business Address
Ms. MICHELLE RENEE KOSTELAC PA-C
4760 UNION DEPOSIT ROAD SUITE 100
HARRISBURG, PA 17111-3729
Phone number: 717-545-9811
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Mailing Address
Ms. MICHELLE RENEE KOSTELAC PA-C
4760 UNION DEPOSIT ROAD SUITE 100
HARRISBURG, PA 17111-3729
Phone number: 717-545-9811
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