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1609961887
SEAN D COSTON
ALBUQUERQUE, NM
NPI
1609961887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NM 20020306)
Enumeration Date
2006-10-04
Last Update Date
2009-12-11
Business Address
Dr. SEAN D COSTON MD
201 CEDAR NE PMG CEDAR SURGERY SUITE 306
ALBUQUERQUE, NM 87106
Phone number: 505-563-1000
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Mailing Address
Dr. SEAN D COSTON MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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