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1710952320
PATRICK NICHOLAS COSTELLO
JOHNSON CITY, TN
NPI
1710952320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: TN MD31483)
Enumeration Date
2006-02-18
Last Update Date
2008-02-18
Business Address
Dr. PATRICK NICHOLAS COSTELLO MD
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number: 423-431-6389
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Mailing Address
Dr. PATRICK NICHOLAS COSTELLO MD
PO BOX 52990
GREENWOOD, SC 29649-0048
Phone number: 864-223-3600
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