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1013526318
NICOLE COSTELLO
SALEM, OR
NPI
1013526318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OR 93-6002307)
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
NICOLE COSTELLO
3180 CENTER ST NE
SALEM, OR 97301-4532
Phone number: 503-585-4949
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Mailing Address
NICOLE COSTELLO
3180 CENTER ST NE
SALEM, OR 97301-4532
Phone number: 503-585-4949
Copy
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