JON COSTELLO

SAINT CLOUD, MN
NPI1588481063
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MN  678937)
Enumeration Date2024-09-25
Last Update Date2024-09-25
Business Address
JON COSTELLO LPN
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
Mailing Address
JON COSTELLO LPN
1525 OXFORD LN
SAINT CLOUD, MN 56303-0317
Phone number: