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1982121422
LARISSA M COSTA
MILFORD, MA
NPI
1982121422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MA PA6244)
Enumeration Date
2017-08-25
Last Update Date
2017-08-25
Business Address
LARISSA M COSTA PA
14 PROSPECT ST
MILFORD, MA 01757-3003
Phone number: 508-473-1190
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Mailing Address
LARISSA M COSTA PA
9 INDUSTRIAL RD STE 5
MILFORD, MA 01757-3736
Phone number: 508-473-1480
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