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Individual

MR. STEVEN ROBERT COSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4914 FAYETTEVILLE ROAD, LUMBERTON, NC 28358
(910) 738-3600
(910) 671-9385
Mailing address
4914 FAYETTEVILLE ROAD, LUMBERTON, NC 28358
(910) 738-3600
(910) 671-9385

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1599
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89-0829B
NC
Enumeration date
10/03/2006
Last updated
07/16/2013
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