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1487699005
DERRICK DCOSTA
VENTURA, CA
NPI
1487699005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A40728)
Enumeration Date
2006-06-18
Last Update Date
2007-07-08
Business Address
Dr. DERRICK DCOSTA M.D.
888 S HILL RD
VENTURA, CA 93003-8400
Phone number: 805-477-6464
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Mailing Address
Dr. DERRICK DCOSTA M.D.
2590 E MAIN ST
VENTURA, CA 93003-2619
Phone number: 805-477-6464
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