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1003347808
JAIME ACOSTA BERRIOS
SANTA MARIA, CA
NPI
1003347808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A166142)
Enumeration Date
2017-03-23
Last Update Date
2022-12-20
Business Address
JAIME ACOSTA BERRIOS
1745 N BROADWAY STE 101
SANTA MARIA, CA 93454-1940
Phone number: 805-739-3890
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Mailing Address
JAIME ACOSTA BERRIOS
1745 N BROADWAY STE 101
SANTA MARIA, CA 93454-1940
Phone number: 805-739-3890
Copy
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