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1043816812
RICARDO COSTABELLA
DALLAS, TX
NPI
1043816812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: TX 10124)
Enumeration Date
2020-12-08
Last Update Date
2020-12-08
Business Address
RICARDO COSTABELLA
4500 SPRING AVE
DALLAS, TX 75210-1350
Phone number: 214-865-3070
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Mailing Address
RICARDO COSTABELLA
4500 SPRING AVE
DALLAS, TX 75210-1350
Phone number: 214-865-3070
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