WAYNE P COSTA

LAKE CITY, FL
NPI1598717498
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy226300000X Kinesiotherapist
Enumeration Date2006-05-17
Last Update Date2007-07-08
Business Address
Mr. WAYNE P COSTA RKT
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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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