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1215235916
JUSTIN COSTELLO
SAN ANTONIO, TX
NPI
1215235916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: NE 973)
Enumeration Date
2011-03-03
Last Update Date
2022-02-02
Business Address
JUSTIN COSTELLO D.O.
3851 ROGER BROOKE DRIVE, FORT SAM HOUSTON
SAN ANTONIO, TX 78234-6200
Phone number: 210-916-5545
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Mailing Address
JUSTIN COSTELLO D.O.
3851 ROGER BROOKE DRIVE, FORT SAM HOUSTON
SAN ANTONIO, TX 78234-6200
Phone number:
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