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Individual
MARGARET EILEEN CARLSON COSENTINO
Active
Individual
MARGARET EILEEN CARLSON COSENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102891
AK
390200000X
Student in an Organized Health Care Education/Training Program
BP10044790
TX
Other
Enumeration date
05/16/2012
Last updated
12/14/2015
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