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1558334524
OSVALDO ACOSTA-RODRIGUEZ
JEFFERSON CITY, MO
NPI
1558334524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MO 2003026609)
Enumeration Date
2006-02-09
Last Update Date
2007-07-08
Business Address
-- OSVALDO ACOSTA-RODRIGUEZ MD
1500 SOUTHWEST BLVD STE C
JEFFERSON CITY, MO 65109
Phone number: 573-632-5786
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Mailing Address
-- OSVALDO ACOSTA-RODRIGUEZ MD
1500 SOUTHWEST BLVD STE C CAPITAL REGION CORPORATE HEALTH CLINIC
JEFFERSON CITY, MO 65109
Phone number: 573-632-5786
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