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1417246711
JOMARIE COSTELLO
CORAM, NY
NPI
1417246711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 641228-1)
Enumeration Date
2011-04-07
Last Update Date
2011-04-07
Business Address
-- JOMARIE COSTELLO R.N.
12 WOODRIDGE LN
CORAM, NY 11727-1145
Phone number: 631-846-1580
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Mailing Address
-- JOMARIE COSTELLO R.N.
12 WOODRIDGE LN
CORAM, NY 11727-1145
Phone number: 631-846-1580
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