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1053798678
EMILY ANTOINETTE COSTABILE
SILVER SPRING, MD
NPI
1053798678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2015-05-04
Last Update Date
2015-05-04
Business Address
EMILY ANTOINETTE COSTABILE
13733 N GATE DR
SILVER SPRING, MD 20906-2214
Phone number: 240-678-4927
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Mailing Address
EMILY ANTOINETTE COSTABILE
13733 N GATE DR
SILVER SPRING, MD 20906-2214
Phone number: 240-678-4927
Copy
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