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1750763223
MICHELLE KOSTELANSKY
PHILADELPHIA, PA
NPI
1750763223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: PA MA057270)
Enumeration Date
2015-06-22
Last Update Date
2015-06-22
Business Address
-- MICHELLE KOSTELANSKY
5401 OLD YORK RD KLEIN BUILDING SUITE 510
PHILADELPHIA, PA 19141-3030
Phone number: 215-456-6930
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Mailing Address
-- MICHELLE KOSTELANSKY
5401 OLD YORK RD KLEIN BUILDING SUITE 510
PHILADELPHIA, PA 19141-3030
Phone number: 215-456-6930
Copy
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