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1770778292
KATHLEEN KOSTAS
ROYAL OAK, MI
NPI
1770778292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704124756)
Enumeration Date
2007-09-07
Last Update Date
2007-09-07
Business Address
-- KATHLEEN KOSTAS NP
3601 W. 13 MILE RD
ROYAL OAK, MI 48073-6769
Phone number: 248-423-2481
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Mailing Address
-- KATHLEEN KOSTAS NP
3601 W. 13 MILE RD 400 FSC
ROYAL OAK, MI 48073-6769
Phone number: 248-423-2481
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