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1114425543
MIKE COSTELLO
LAS VEGAS, NV
NPI
1114425543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-01-31
Last Update Date
2018-01-31
Business Address
MIKE COSTELLO
1951 STELLA LAKE ST STE 36
LAS VEGAS, NV 89106-2144
Phone number: 702-595-8309
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Mailing Address
MIKE COSTELLO
2038 PALM ST SPC 41
LAS VEGAS, NV 89104-4820
Phone number:
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