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1326508672
AZALIA ACOSTA
OTHELLO, WA
NPI
1326508672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WA CG60941622)
Enumeration Date
2019-03-22
Last Update Date
2019-03-22
Business Address
AZALIA ACOSTA
425 E MAIN ST STE 600
OTHELLO, WA 99344-1146
Phone number: 509-488-4074
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Mailing Address
AZALIA ACOSTA
425 E MAIN ST STE 600
OTHELLO, WA 99344-1146
Phone number: 509-488-4074
Copy
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