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1619266954
CLINT M. COSTANZA
BATON ROUGE, LA
NPI
1619266954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: LA PA.200436)
Enumeration Date
2011-04-06
Last Update Date
2013-04-09
Business Address
Mr. CLINT M. COSTANZA ,PA
9001 SUMMA AVE
BATON ROUGE, LA 70809-3726
Phone number: 225-761-5200
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Mailing Address
Mr. CLINT M. COSTANZA ,PA
9001 SUMMA AVE
BATON ROUGE, LA 70809-3726
Phone number: 225-761-5200
Copy
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