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1033468061
JENNIFER COSTELLO
GASTONIA, NC
NPI
1033468061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 229882)
Enumeration Date
2012-09-06
Last Update Date
2012-09-06
Business Address
-- JENNIFER COSTELLO RN
911 W HUDSON BLVD
GASTONIA, NC 28052-6430
Phone number: 704-853-5464
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Mailing Address
-- JENNIFER COSTELLO RN
911 W HUDSON BLVD
GASTONIA, NC 28052-6430
Phone number: 704-853-5464
Copy
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