CHERYL JANE COSTELLO

MOLINE, IL
NPI1376858753
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: IL  160.004681)
Enumeration Date2010-08-10
Last Update Date2010-08-10
Business Address
Mrs. CHERYL JANE COSTELLO PTA
833 16TH AVE
MOLINE, IL 61265-3808
Phone number: 309-764-6744
Mailing Address
Mrs. CHERYL JANE COSTELLO PTA
2137 THORNWOOD LN
LE CLAIRE, IA 52753-9313
Phone number: 563-332-4365
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