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1366131815
MADELENE COSTELLO
NEWARK, TX
NPI
1366131815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1021688)
Enumeration Date
2023-05-02
Last Update Date
2024-08-08
Business Address
MADELENE COSTELLO MSN, APRN, FNP-BC
980 GEORGETTA LN
NEWARK, TX 76071-3899
Phone number: 509-961-0271
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Mailing Address
MADELENE COSTELLO MSN, APRN, FNP-BC
3900 GRAPEVINE MILLS PKWY UNIT 2428
GRAPEVINE, TX 76051-0929
Phone number:
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