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1306603410
CHRISTOPHER FABIAN ACOSTA
INDIO, CA
NPI
1306603410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2024-03-05
Last Update Date
2024-06-18
Business Address
CHRISTOPHER FABIAN ACOSTA
47825 OASIS ST
INDIO, CA 92201-6950
Phone number: 760-863-8441
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Mailing Address
CHRISTOPHER FABIAN ACOSTA
47825 OASIS ST
INDIO, CA 92201-6950
Phone number: 760-863-8441
Copy
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