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1952042087
WILLIAM MICHAEL COSTA
NEW ORLEANS, LA
NPI
1952042087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
WILLIAM MICHAEL COSTA DO
1430 TULANE AVE # 8050
NEW ORLEANS, LA 70112-2632
Phone number: 504-988-7809
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Mailing Address
WILLIAM MICHAEL COSTA DO
300 N WATER ST APT 307
MOBILE, AL 36602-4018
Phone number: 954-815-5390
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