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1558456202
TAMMY LYNNE COSTELLO
MYRTLE BEACH, SC
NPI
1558456202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111NS0005X Chiropractor, Sports Physician
(Licence: SC SC2755)
Enumeration Date
2006-10-04
Last Update Date
2009-05-11
Business Address
Dr. TAMMY LYNNE COSTELLO DC
1151 ROBERT GRISSOM PKWY
MYRTLE BEACH, SC 29577-5664
Phone number: 843-839-5588
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Mailing Address
Dr. TAMMY LYNNE COSTELLO DC
1151 ROBERT GRISSOM PKWY
MYRTLE BEACH, SC 29579
Phone number: 843-839-5588
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