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1588141477
JOHANNA ACOSTA
LAKELAND, FL
NPI
1588141477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
JOHANNA ACOSTA
1835 GILMORE AVE
LAKELAND, FL 33805-3017
Phone number: 863-519-0575
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Mailing Address
JOHANNA ACOSTA
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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