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1740393818
CYNTHIA M COSTELLO
LOS ANGELES, CA
NPI
1740393818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 313570)
Enumeration Date
2006-08-16
Last Update Date
2013-10-24
Business Address
-- CYNTHIA M COSTELLO C.P.N.P.
403 WEST ADAMS BLVD
LOS ANGELES, CA 90007-2629
Phone number: 213-742-1433
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Mailing Address
-- CYNTHIA M COSTELLO C.P.N.P.
415 KNIGHT WAY
LA CANADA, CA 91011-2725
Phone number: 818-790-1309
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