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1578711016
KAI DACOSTA
TACOMA, WA
NPI
1578711016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: ME 2155)
Enumeration Date
2008-09-08
Last Update Date
2016-02-17
Business Address
-- KAI DACOSTA DO
9040 FITZSIMMONS DR
TACOMA, WA 98431-1000
Phone number: 253-968-1330
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Mailing Address
-- KAI DACOSTA DO
PO BOX 351
PERRY, ME 04667-0351
Phone number: 207-853-0644
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