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1528238524
MICHELLE ADELE COSTELLO
WEATHERFORD, TX
NPI
1528238524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA00445)
Enumeration Date
2008-03-05
Last Update Date
2019-11-19
Business Address
MICHELLE ADELE COSTELLO P.A.
706 EUREKA ST
WEATHERFORD, TX 76086-6520
Phone number: 817-599-7373
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Mailing Address
MICHELLE ADELE COSTELLO P.A.
706 EUREKA ST
WEATHERFORD, TX 76086-6520
Phone number: 817-599-7373
Copy
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