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1801280417
JESSICA DECOSTOLE
BALTIMORE, MD
NPI
1801280417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MD DX3562)
Enumeration Date
2015-03-20
Last Update Date
2018-05-04
Business Address
Ms. JESSICA DECOSTOLE MS, RDN, LDN, CDE
5601 LOCH RAVEN BLVD GOOD HEALTH CENTER 2ND FLOOR
BALTIMORE, MD 21238
Phone number: 443-444-4912
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Mailing Address
Ms. JESSICA DECOSTOLE MS, RDN, LDN, CDE
736 S ELLWOOD AVE
BALTIMORE, MD 21224-3949
Phone number: 347-992-4041
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