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Individual
ANGELA KOSTENBADER
Active
Individual
ANGELA KOSTENBADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1269PA
ME
363A00000X
Physician Assistant
PA1269
ME
Other
Enumeration date
09/27/2011
Last updated
02/04/2020
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