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1619266897
JESSE LEE COSTALES
PHOENIX, AZ
NPI
1619266897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: AZ 58656)
Enumeration Date
2011-03-28
Last Update Date
2024-05-24
Business Address
Dr. JESSE LEE COSTALES M.D.
3009 W MCRAE WAY
PHOENIX, AZ 85027-4915
Phone number: 602-353-2340
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Mailing Address
Dr. JESSE LEE COSTALES M.D.
3009 W MCRAE WAY
PHOENIX, AZ 85027-4915
Phone number: 909-772-2963
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