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1851008460
ALENA NICOLE COSTULAS
YUKON, OK
NPI
1851008460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 4902)
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
Ms. ALENA NICOLE COSTULAS PA
520 S MUSTANG RD
YUKON, OK 73099-6737
Phone number: 405-936-5910
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Mailing Address
Ms. ALENA NICOLE COSTULAS PA
1802 ENNIS JOSLIN RD APT 531
CORPUS CHRISTI, TX 78412-4345
Phone number: 724-730-6299
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