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1639481401
PABLO ENRIQUE ACOSTA
DALLAS, TX
NPI
1639481401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: TX 1195597)
Enumeration Date
2010-07-09
Last Update Date
2010-07-09
Business Address
-- PABLO ENRIQUE ACOSTA DPT
550 E ANN ARBOR AVE
DALLAS, TX 75216-6718
Phone number: 214-376-1701
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Mailing Address
-- PABLO ENRIQUE ACOSTA DPT
5 LAUREL RD
FREEPORT, NY 11520-5112
Phone number: 516-330-4882
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