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1619541869
VELLISSA RENEE DACOSTA
WASHINGTON, DC
NPI
1619541869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
VELLISSA RENEE DACOSTA
1414 V ST NW APT 106
WASHINGTON, DC 20009-5855
Phone number: 202-910-9709
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Mailing Address
VELLISSA RENEE DACOSTA
1414 V ST NW APT 106
WASHINGTON, DC 20009-5855
Phone number: 202-910-9709
Copy
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