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Individual

DAVID COSTAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3205
Mailing address
1369 PLUMBAGO ST, CAMARILLO, CA 93010-1964

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CA

Other

Enumeration date
12/08/2011
Last updated
12/08/2011
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