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1215532635
ENRIQUE ACOSTA
LOS ANGELES, CA
NPI
1215532635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-12-02
Last Update Date
2022-02-23
Business Address
ENRIQUE ACOSTA
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 323-596-2480
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Mailing Address
ENRIQUE ACOSTA
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 323-596-2480
Copy
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