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Individual

DONNA COSTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
30 BAXTER DR STE 170, HARRISONBURG, VA 22801-7632
(540) 908-3917
Mailing address
30 BAXTER DR STE 170, HARRISONBURG, VA 22801-7632
(540) 908-3917

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002038235
VA

Other

Enumeration date
08/15/2018
Last updated
08/15/2018
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