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1730278870
KAREN C COSTAS
BOSTON, MA
NPI
1730278870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered Nutrition, Pediatric
(Licence: MA 160)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
KAREN C COSTAS RD
300 LONGWOOD AVE
BOSTON, MA 02115-5724
Phone number: 617-355-4545
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Mailing Address
KAREN C COSTAS RD
19 CHAMPNEY ST APT #1
BRIGHTON, MA 02135-1613
Phone number: 617-783-0330
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