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1548711492
AMY COSTELLO
SAN JOSE, CA
NPI
1548711492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.013411)
Enumeration Date
2016-10-16
Last Update Date
2024-01-13
Business Address
AMY COSTELLO
2028 LINCOLN AVE
SAN JOSE, CA 95125-3449
Phone number: 708-415-8858
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Mailing Address
AMY COSTELLO
2028 LINCOLN AVE
SAN JOSE, CA 95125-3449
Phone number:
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