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1720689979
CRYSTAL COSTELLO
ELKINS, WV
NPI
1720689979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
CRYSTAL COSTELLO
1408 HARRISON AVE
ELKINS, WV 26241-3325
Phone number: 304-636-4390
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Mailing Address
CRYSTAL COSTELLO
203 KING DR
KINGWOOD, WV 26537-2902
Phone number: 304-435-1106
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