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1497380364
SEAN FRANCIS COSTELLO
WPAFB, OH
NPI
1497380364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
SEAN FRANCIS COSTELLO
4884 SUGAR MAPLE DR
WPAFB, OH 45433-5533
Phone number: 937-257-1188
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Mailing Address
SEAN FRANCIS COSTELLO
4884 SUGAR MAPLE DR
WPAFB, OH 45433-5533
Phone number:
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