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1396307229
MARIO ANGEL ACOSTA
LEMON GROVE, CA
NPI
1396307229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-07-01
Last Update Date
2019-07-01
Business Address
MARIO ANGEL ACOSTA
2045 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-464-2273
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Mailing Address
MARIO ANGEL ACOSTA
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 207-956-1563
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