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1245705516
AMANDA COSTELLA
BRIDGEPORT, CT
NPI
1245705516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 7888)
Enumeration Date
2018-10-12
Last Update Date
2019-12-19
Business Address
AMANDA COSTELLA
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-4677
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Mailing Address
AMANDA COSTELLA
20 YORK STREET, CB-329
NEW HAVEN, CT 06510-3220
Phone number: 203-688-1734
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