JAMES WADE COSTIN

MILWAUKEE, WI
NPI1720617202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-06
Last Update Date2020-04-06
Business Address
JAMES WADE COSTIN
2901 W OKLAHOMA AVE
MILWAUKEE, WI 53215-4329
Phone number: 414-649-3323
Mailing Address
JAMES WADE COSTIN
7153 EDGEWATER PL
INDIANAPOLIS, IN 46240-3020
Phone number:
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