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1457365876
PAMELA J COSTELLO
JOHNSON CITY, TN
NPI
1457365876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: TN MD0000056597)
Enumeration Date
2006-07-28
Last Update Date
2019-10-25
Business Address
PAMELA J COSTELLO MD
3915 BRISTOL HWY STE 301
JOHNSON CITY, TN 37601-1403
Phone number: 423-461-0073
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Mailing Address
PAMELA J COSTELLO MD
3915 BRISTOL HWY STE 103
JOHNSON CITY, TN 37601-1400
Phone number: 423-461-0073
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