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1922069673
RICHARD COSTELLO
HIGH POINT, NC
NPI
1922069673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 102803)
Enumeration Date
2006-03-31
Last Update Date
2016-10-04
Business Address
Mr. RICHARD COSTELLO PA-C
306 WESTWOOD AVE SUITE 401
HIGH POINT, NC 27262-4341
Phone number: 336-885-6168
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Mailing Address
Mr. RICHARD COSTELLO PA-C
624 QUAKER LN STE. 207C
HIGH POINT, NC 27262-3832
Phone number: 336-883-2500
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