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1972591055
PAUL J KOSTUCHENKO
WINSTON SALEM, NC
NPI
1972591055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ND0900X Dermatology, Dermatopathology
(Licence: NC 200400056)
Enumeration Date
2005-10-12
Last Update Date
2009-04-02
Business Address
-- PAUL J KOSTUCHENKO MD
1345 WESTGATE CENTER DR STE B
WINSTON SALEM, NC 27103-3041
Phone number: 336-768-1280
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Mailing Address
-- PAUL J KOSTUCHENKO MD
1351-B WESTGATE CENTER DR
WINSTON-SALEM, NC 27103-3041
Phone number: 336-768-1280
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