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1619073228
COSTELLO CLINIC, P.A.
LEWISVILLE, TX
NPI
1619073228
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Entity Type
Organization
Authorized Contact
LOUIS E COSTELLO
President
972-221-7006
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2006-09-15
Last Update Date
2020-08-22
Business Address
COSTELLO CLINIC, P.A.
131 DEGAN AVE SUITE 105
LEWISVILLE, TX 75057-3622
Phone number: 972-221-7006
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Mailing Address
COSTELLO CLINIC, P.A.
131 DEGAN AVE SUITE 105
LEWISVILLE, TX 75057-3622
Phone number: 972-221-7006
Copy
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