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1225578958
ANGELA JONESACOSTA
CHICAGO, IL
NPI
1225578958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2017-02-28
Last Update Date
2017-02-28
Business Address
ANGELA JONESACOSTA
10046 S WESTERN AVE
CHICAGO, IL 60643-1926
Phone number: 708-513-0256
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Mailing Address
ANGELA JONESACOSTA
10046 S WESTERN AVE
CHICAGO, IL 60643-1926
Phone number:
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