JACQUELYN ANN COSTABILO

MINNEAPOLIS, MN
NPI1134134927
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MN  2353)
Enumeration Date2006-07-30
Last Update Date2007-07-08
Business Address
Mrs. JACQUELYN ANN COSTABILO RD, LD
1 VETERANS DR
MINNEAPOLIS, MN 55417-2309
Phone number: 612-467-4295
Mailing Address
Mrs. JACQUELYN ANN COSTABILO RD, LD
10995 OAK GROVE CIR UNIT B
WOODBURY, MN 55129-8727
Phone number: 651-436-3761
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