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1154306454
BRIAN L. COSTELLO
ALBUQUERQUE, NM
NPI
1154306454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2005-12-08
Last Update Date
2016-09-26
Business Address
Mr. BRIAN L. COSTELLO PA-C
5310 HOMESTEAD RD NE SUITE 301
ALBUQUERQUE, NM 87110-1437
Phone number: 505-872-4700
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Mailing Address
Mr. BRIAN L. COSTELLO PA-C
5310 HOMESTEAD RD NE SUITE 301
ALBUQUERQUE, NM 87110-1437
Phone number: 505-872-4700
Copy
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