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1063567345
BRENDA ANN DACOSTA
LOS ANGELES, CA
NPI
1063567345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 11432)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
Mrs. BRENDA ANN DACOSTA NP
5850 S MAIN ST
LOS ANGELES, CA 90003-1215
Phone number: 323-846-4265
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Mailing Address
Mrs. BRENDA ANN DACOSTA NP
490 PINE AVE APT 408-P
LONG BEACH, CA 90802-2386
Phone number: 562-432-0410
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