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1992087134
LAUREN COSTELLO
BOSTON, MA
NPI
1992087134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MA RN2274530)
Enumeration Date
2011-09-14
Last Update Date
2014-06-12
Business Address
-- LAUREN COSTELLO RN, NP
20 VINING ST
BOSTON, MA 02115-6115
Phone number: 617-626-9670
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Mailing Address
-- LAUREN COSTELLO RN, NP
75 FENWOOD RD
BOSTON, MA 02115-6103
Phone number: 617-626-9670
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