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1235161894
MARY ANN COSTA
SAN PEDRO, CA
NPI
1235161894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP9202)
Enumeration Date
2006-07-06
Last Update Date
2008-06-25
Business Address
-- MARY ANN COSTA FNP
1300 W 7TH ST
SAN PEDRO, CA 90732-3505
Phone number: 310-514-5350
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Mailing Address
-- MARY ANN COSTA FNP
PO BOX 661360
ARCADIA, CA 91066-1360
Phone number: 626-447-0296
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