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1770064784
THOMAS MICHAEL COSTELLO
LOUISVILLE, KY
NPI
1770064784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2472E0500X Technician, Other, EEG
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
THOMAS MICHAEL COSTELLO R.EP.T., CNIM
200 E CHESTNUT ST
LOUISVILLE, KY 40202-1831
Phone number: 502-629-4800
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Mailing Address
THOMAS MICHAEL COSTELLO R.EP.T., CNIM
2838 PLANTATION CT
SELLERSBURG, IN 47172-9172
Phone number: 812-246-5228
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