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1447966262
MICHELLE LYN COSTLOW
BRYAN, TX
NPI
1447966262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1099356)
Enumeration Date
2023-01-25
Last Update Date
2023-09-19
Business Address
MICHELLE LYN COSTLOW PMHNP-BC
3201 UNIVERSITY DR E # 240
BRYAN, TX 77802-3475
Phone number: 888-360-7587
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Mailing Address
MICHELLE LYN COSTLOW PMHNP-BC
3201 UNIVERSITY DR E # 240
BRYAN, TX 77802-3475
Phone number: 903-288-7425
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