Individual
JAMES K COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 N PARK ST, LYMAN, NE 69352-5702
(308) 737-1178
Mailing address
411 N PARK ST, LYMAN, NE 69352-5702
(308) 737-1178
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
26592264
NE
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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