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1538705694
JENNIFER COSTELLO
PARMA, OH
NPI
1538705694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.026002)
Enumeration Date
2019-11-25
Last Update Date
2020-11-23
Business Address
JENNIFER COSTELLO
5812 RIDGE RD
PARMA, OH 44129-3161
Phone number: 440-669-6384
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Mailing Address
JENNIFER COSTELLO
5812 RIDGE RD
PARMA, OH 44129-3161
Phone number: 440-669-6384
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