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1962984781
MARIO COSTELLO
SAGINAW, MI
NPI
1962984781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
247200000X Technician, Other
Enumeration Date
2018-08-29
Last Update Date
2023-02-10
Business Address
MARIO COSTELLO
300 SAINT ANDREWS RD STE 409
SAGINAW, MI 48638-5977
Phone number: 989-341-3653
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Mailing Address
MARIO COSTELLO
PO BOX 663
LAKELAND, MI 48143-0663
Phone number: 734-203-0181
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