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1477544781
MICHAEL JOHN COSTELLO
PLEASANTON, CA
NPI
1477544781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA G81580)
Enumeration Date
2005-11-04
Last Update Date
2007-07-08
Business Address
-- MICHAEL JOHN COSTELLO MD
5555 W LAS POSITAS BLVD
PLEASANTON, CA 94588-4000
Phone number: 209-342-2300
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Mailing Address
-- MICHAEL JOHN COSTELLO MD
4301 NORTH STAR WAY
MODESTO, CA 95356
Phone number: 209-342-2300
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