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1891197943
MICHELLE DEANNE KOSTNER
SAN DIEGO, CA
NPI
1891197943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 51929)
Enumeration Date
2014-09-19
Last Update Date
2017-03-22
Business Address
Mrs. MICHELLE DEANNE KOSTNER P.A.
10605 SCRIPPS POWAY PKWY #C
SAN DIEGO, CA 92131-3925
Phone number: 858-622-0554
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Mailing Address
Mrs. MICHELLE DEANNE KOSTNER P.A.
12521 MUSTANG DR
POWAY, CA 92064
Phone number: 714-458-7543
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