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Individual

CAROLINE VICTORIA COSTER

Active
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Individual

CAROLINE VICTORIA COSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101242744
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101242744
VA MEDICAL LICENSE
VA
Enumeration date
05/21/2007
Last updated
04/16/2014
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