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1962169821
KAILAH COSTELLO
TEMPLE TERRACE, FL
NPI
1962169821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11015745)
Enumeration Date
2021-11-26
Last Update Date
2024-07-31
Business Address
KAILAH COSTELLO APRN
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0926
Phone number: 813-779-6303
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Mailing Address
KAILAH COSTELLO APRN
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0926
Phone number: 863-738-9482
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