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1396833257
BRIAN JOHN COSTELLO
WALNUT CREEK, CA
NPI
1396833257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: CA PA15532)
Enumeration Date
2006-10-10
Last Update Date
2023-01-23
Business Address
MR. BRIAN JOHN COSTELLO PHYSICIAN ASSISTANT
2405 SHADELANDS DR STE 300
WALNUT CREEK, CA 94598-5906
Phone number: 925-939-8585
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Mailing Address
MR. BRIAN JOHN COSTELLO PHYSICIAN ASSISTANT
PO BOX 31396
WALNUT CREEK, CA 94598-8396
Phone number: 925-939-8585
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