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1356092159
SPENCER COSTELLO
COLUMBUS, OH
NPI
1356092159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2022-01-12
Last Update Date
2024-03-25
Business Address
SPENCER COSTELLO
431 E BROAD ST
COLUMBUS, OH 43215-4004
Phone number: 614-885-5020
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Mailing Address
SPENCER COSTELLO
431 E BROAD ST
COLUMBUS, OH 43215-4004
Phone number: 614-885-5020
Copy
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