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1588481063
JON COSTELLO
SAINT CLOUD, MN
NPI
1588481063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MN 678937)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
JON COSTELLO LPN
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
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Mailing Address
JON COSTELLO LPN
1525 OXFORD LN
SAINT CLOUD, MN 56303-0317
Phone number:
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