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1962055319
DEVAN COSTELLE
LOUISVILLE, KY
NPI
1962055319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: KY 3013580)
Enumeration Date
2019-07-24
Last Update Date
2019-08-23
Business Address
DEVAN COSTELLE RN, APRN, AGACNP-BC
201 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202-3841
Phone number: 502-718-2877
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Mailing Address
DEVAN COSTELLE RN, APRN, AGACNP-BC
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0325
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