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1316640212
KELLIANNE COSTELLO
NEW BRUNSWICK, NJ
NPI
1316640212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
KELLIANNE COSTELLO
125 PATERSON ST STE 7300
NEW BRUNSWICK, NJ 08901-1962
Phone number: 732-235-8887
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Mailing Address
KELLIANNE COSTELLO
157 CHANCELLOR DR
DEPTFORD, NJ 08096-5158
Phone number: 856-524-4903
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