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1801883236
JAMES COSTELLO
MODESTO, CA
NPI
1801883236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA PA10823)
Enumeration Date
2005-09-30
Last Update Date
2023-03-07
Business Address
Mr. JAMES COSTELLO PA
4120 PRESCOTT RD
MODESTO, CA 95356-8418
Phone number: 209-544-7300
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Mailing Address
Mr. JAMES COSTELLO PA
4120 PRESCOTT RD
MODESTO, CA 95356-8418
Phone number: 209-544-7300
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