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1104209246
JACQUELINE ANGELA DACOSTA
DECATUR, GA
NPI
1104209246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN079303)
Enumeration Date
2015-07-07
Last Update Date
2015-07-07
Business Address
-- JACQUELINE ANGELA DACOSTA RN
4133 CHAPEL LAKE DR
DECATUR, GA 30034-3568
Phone number: 404-549-8086
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Mailing Address
-- JACQUELINE ANGELA DACOSTA RN
4133 CHAPEL LAKE DR
DECATUR, GA 30034-3568
Phone number: 404-549-8086
Copy
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