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1760482632
GENEVIEVE COSTELLO
MIAMI BEACH, FL
NPI
1760482632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9104431)
Enumeration Date
2005-07-21
Last Update Date
2010-02-24
Business Address
-- GENEVIEVE COSTELLO P.A.
4306 ALTON RD FL 2D
MIAMI BEACH, FL 33140-2840
Phone number: 305-674-2397
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Mailing Address
-- GENEVIEVE COSTELLO P.A.
4306 ALTON RD FL 2D
MIAMI BEACH, FL 33140-2840
Phone number: 305-674-2397
Copy
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