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1326008046
GRACE COSTELLO
JACKSONVILLE, FL
NPI
1326008046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP1427032)
Enumeration Date
2006-03-25
Last Update Date
2022-12-08
Business Address
GRACE COSTELLO CRNA
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4207
Phone number: 904-421-2119
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Mailing Address
GRACE COSTELLO CRNA
PO BOX 57100
JACKSONVILLE, FL 32241-7100
Phone number:
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