NICOLE COSTELLO

SALEM, OR
NPI1013526318
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OR  93-6002307)
Enumeration Date2020-07-23
Last Update Date2020-07-23
Business Address
NICOLE COSTELLO
3180 CENTER ST NE
SALEM, OR 97301-4532
Phone number: 503-585-4949
Mailing Address
NICOLE COSTELLO
3180 CENTER ST NE
SALEM, OR 97301-4532
Phone number: 503-585-4949
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