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1538649546
JENNIFER COSTELLO
SAN ANTONIO, TX
NPI
1538649546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 782080)
Enumeration Date
2018-08-19
Last Update Date
2018-08-19
Business Address
JENNIFER COSTELLO
5718 SPANISH DAWN
SAN ANTONIO, TX 78222-3470
Phone number: 210-708-7097
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Mailing Address
JENNIFER COSTELLO
5718 SPANISH DAWN
SAN ANTONIO, TX 78222-3470
Phone number: 210-708-7097
Copy
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