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1316631856
DAURICE COSTELLO
EL CAJON, CA
NPI
1316631856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-07
Last Update Date
2023-06-07
Business Address
DAURICE COSTELLO
321 VAN HOUTEN AVE
EL CAJON, CA 92020-5128
Phone number: 855-223-7123
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Mailing Address
DAURICE COSTELLO
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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