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1528600871
DIANA ANGIE ACOSTA
LOS ANGELES, CA
NPI
1528600871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
DIANA ANGIE ACOSTA
327 N ST LOUIS ST
LOS ANGELES, CA 90033-2807
Phone number: 323-261-7810
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Mailing Address
DIANA ANGIE ACOSTA
3325 LINDA VISTA TER
LOS ANGELES, CA 90032-2205
Phone number: 323-261-7810
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