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1649862103
JILLIAN MARIE COSTELLO
PHILADELPHIA, PA
NPI
1649862103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: PA SP023213)
Enumeration Date
2021-02-06
Last Update Date
2021-02-06
Business Address
Mrs. JILLIAN MARIE COSTELLO CRNP
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-6000
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Mailing Address
Mrs. JILLIAN MARIE COSTELLO CRNP
401 S ISEMINGER ST
PHILADELPHIA, PA 19147-1113
Phone number: 609-560-0541
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