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1447258314
BRENDA LEE COSTELLO-WELLS
INDIANAPOLIS, IN
NPI
1447258314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent
(Licence: IN 70000059A)
Enumeration Date
2005-07-13
Last Update Date
2023-11-27
Business Address
BRENDA LEE COSTELLO-WELLS CNS APRN
1500 N RITTER AVE
INDIANAPOLIS, IN 46219-3027
Phone number: 317-355-2560
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Mailing Address
BRENDA LEE COSTELLO-WELLS CNS APRN
6626 E 75TH STREET STE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-7561
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