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MRS. JOY L COSTELLO LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1124096938

Individual Registrant:
MRS. JOY L COSTELLO LPN
Gender: F

Location and contact information for practice:
17347 PIPA RD  PLEASANT CITY, OH 43772-9668 US
Tel: 740-685-0854  Fax: --

Contact information for business:
17613 EASTON RD  SALESVILLE, OH 43778-9878 US
Tel: 740-489-9248  Fax: --

Registration Information:
NPI: 1124096938
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
OHPN-111149

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PERSONAL PROVIDER NUMBER2364436OH01




HEALTH CARE JOBS OH - Page 1



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