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1043966872
DARRIEN COSTELLO-JUSTUS
LINCOLN, NE
NPI
1043966872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
DARRIEN COSTELLO-JUSTUS
5000 SAINT PAUL AVE
LINCOLN, NE 68504-2760
Phone number: 402-465-7508
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Mailing Address
DARRIEN COSTELLO-JUSTUS
10118 P ST
OMAHA, NE 68127-2128
Phone number:
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