IAN CALVERT JOHN COSTELLO

WRIGHT PATTERSON AFB, OH
NPI1962375022
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-09-25
Last Update Date2025-09-25
Business Address
-- IAN CALVERT JOHN COSTELLO
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433-5529
Phone number: 937-257-6877
Mailing Address
-- IAN CALVERT JOHN COSTELLO
2203 ZINK RD APT 5
BEAVERCREEK, OH 45324-9099
Phone number: 619-883-6425