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1487165791
MICHAEL COSTELLO
GRAND JUNCTION, CO
NPI
1487165791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: CO ACD.0000462)
Enumeration Date
2017-10-14
Last Update Date
2017-10-14
Business Address
MICHAEL COSTELLO M.S., LAC
114 N 12TH ST
GRAND JUNCTION, CO 81501-3534
Phone number: 970-549-9050
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Mailing Address
MICHAEL COSTELLO M.S., LAC
377 RODELL DR
GRAND JUNCTION, CO 81507-1744
Phone number:
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