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1598717498
WAYNE P COSTA
LAKE CITY, FL
NPI
1598717498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
226300000X Kinesiotherapist
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
Mr. WAYNE P COSTA RKT
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
Mr. WAYNE P COSTA RKT
113 SW EMILY GLN
LAKE CITY, FL 32024-3775
Phone number: 386-754-0136
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