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1780068924
ROCHELL R. KOSTELECKY
TACOMA, WA
NPI
1780068924
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Former Name
ROCHELL R. ROTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60700601)
Enumeration Date
2015-07-17
Last Update Date
2020-04-08
Business Address
ROCHELL R. KOSTELECKY PA-C
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-8327
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Mailing Address
ROCHELL R. KOSTELECKY PA-C
PO BOX 5215
TACOMA, WA 98415-0215
Phone number: 253-403-8327
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