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1164155123
MARY CATHLEEN COSTELLO
TAMPA, FL
NPI
1164155123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL APRN11020897)
Enumeration Date
2022-07-07
Last Update Date
2023-10-30
Business Address
MARY CATHLEEN COSTELLO
2 TAMPA GENERAL CIR
TAMPA, FL 33606-3571
Phone number: 813-821-8038
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Mailing Address
MARY CATHLEEN COSTELLO
PO BOX 917770
ORLANDO, FL 32891-0001
Phone number:
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