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1649244997
ERIN R COSTANZO
DALLAS, GA
NPI
1649244997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN146776NP)
Enumeration Date
2006-02-14
Last Update Date
2010-01-19
Business Address
Mrs. ERIN R COSTANZO APRN FNPC
7869 VILLA RICA HWY
DALLAS, GA 30157
Phone number: 770-459-4411
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Mailing Address
Mrs. ERIN R COSTANZO APRN FNPC
PO BOX 608
VILLA RICA, GA 30180
Phone number: 770-459-4411
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