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1235429119
CHERYL L. COSTELLO
PHILADELPHIA, PA
NPI
1235429119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA000966L)
Enumeration Date
2011-04-13
Last Update Date
2014-03-24
Business Address
Mrs. CHERYL L. COSTELLO PA-C
1317 WOLF ST
PHILADELPHIA, PA 19148-2934
Phone number: 215-755-5449
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Mailing Address
Mrs. CHERYL L. COSTELLO PA-C
1317 WOLF ST
PHILADELPHIA, PA 19148-2934
Phone number: 215-755-5449
Copy
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