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1639357114
ACOSTA MEDICAL GROUP, INC.
GLENDALE, CA
NPI
1639357114
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Entity Type
Organization
Authorized Contact
MALENA A WILSON
Administrator
818-240-0601
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G72214)
Enumeration Date
2008-02-06
Last Update Date
2009-08-13
Business Address
ACOSTA MEDICAL GROUP, INC.
222 W EULALIA ST STE. 201
GLENDALE, CA 91204-2849
Phone number: 818-240-0601
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Mailing Address
ACOSTA MEDICAL GROUP, INC.
222 W EULALIA ST STE. 201
GLENDALE, CA 91204-2849
Phone number: 818-240-0601
Copy
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