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1770189011
CANDICE COSTELLO
COLCHESTER, VT
NPI
1770189011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: VT 026.0033197)
Enumeration Date
2020-12-10
Last Update Date
2020-12-12
Business Address
CANDICE COSTELLO
593 HERCULES DR
COLCHESTER, VT 05446-5993
Phone number: 802-488-5350
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Mailing Address
CANDICE COSTELLO
PO BOX 235
JOHNSON, VT 05656-0235
Phone number: 802-279-2755
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