KELLY N COSTELLO

FARGO, ND
NPI1659507226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MN  103733)
Enumeration Date2009-06-09
Last Update Date2014-01-08
Business Address
-- KELLY N COSTELLO
4622 40TH AVE S STE B
FARGO, ND 58104-4394
Phone number: 701-361-3745
Mailing Address
-- KELLY N COSTELLO
4622 40TH AVE S STE B
FARGO, ND 58104-4394
Phone number:
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