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Individual

MELISSA COSTELLO-MCKEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6003 JACKPINE RD, BLOOMINGTON, IL 61705-7502
(309) 826-1926
Mailing address
6003 JACKPINE RD, BLOOMINGTON, IL 61705-7502
(309) 826-1926

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
12/20/2017
Last updated
12/20/2017
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