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1740408020
KATHLEEN M. COSTELLO
BALTIMORE, MD
NPI
1740408020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R069246)
Enumeration Date
2007-04-23
Last Update Date
2011-05-20
Business Address
-- KATHLEEN M. COSTELLO C.R.N.P.
600 N WOLFE ST PATHOLOGY BLDG - RM 625
BALTIMORE, MD 21287-0005
Phone number: 410-614-1066
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Mailing Address
-- KATHLEEN M. COSTELLO C.R.N.P.
PO BOX 64227
BALTIMORE, MD 21264-4227
Phone number: 410-410-9331
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