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1811399314
DANA M COSTAKOS
OCEANSIDE, CA
NPI
1811399314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP 23356)
Enumeration Date
2014-09-16
Last Update Date
2016-03-01
Business Address
Ms. DANA M COSTAKOS M.S. CCC-SLP
3355 MISSION AVE STE 123
OCEANSIDE, CA 92058-1327
Phone number: 760-529-4975
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Mailing Address
Ms. DANA M COSTAKOS M.S. CCC-SLP
6973 BLUE ORCHID LN
CARLSBAD, CA 92011-5164
Phone number: 650-275-3931
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