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1053777342
KELLIE ACOSTA
SAN LUIS OBISPO, CA
NPI
1053777342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 53123)
Enumeration Date
2016-01-03
Last Update Date
2016-01-03
Business Address
-- KELLIE ACOSTA PA-C
275 N CHORRO ST APT E
SAN LUIS OBISPO, CA 93405-3320
Phone number: 808-640-2660
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Mailing Address
-- KELLIE ACOSTA PA-C
275 N CHORRO ST APT E
SAN LUIS OBISPO, CA 93405-3320
Phone number: 808-640-2660
Copy
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