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1639121791
ERICA RYAN DACOSTA
CHARLOTTE, NC
NPI
1639121791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-05121)
Enumeration Date
2006-05-17
Last Update Date
2024-07-15
Business Address
ERICA RYAN DACOSTA PA
1225 HARDING PL STE 5100
CHARLOTTE, NC 28204-2826
Phone number: 704-355-8850
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Mailing Address
ERICA RYAN DACOSTA PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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