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1184344756
GRACE ACOSTA
PHILADELPHIA, PA
NPI
1184344756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA063870)
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
GRACE ACOSTA PA
1420 LOCUST ST
PHILADELPHIA, PA 19102-4223
Phone number: 215-800-1909
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Mailing Address
GRACE ACOSTA PA
220 S 47TH ST APT 238
PHILADELPHIA, PA 19139-4485
Phone number: 267-994-4257
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