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1649576828
JORGE L ACOSTA
SAN DIEGO, CA
NPI
1649576828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2011-02-04
Last Update Date
2021-07-28
Business Address
Mr. JORGE L ACOSTA IDC
34101 FARENHOLT AVE STE 233
SAN DIEGO, CA 92134-7000
Phone number: 619-548-3754
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Mailing Address
Mr. JORGE L ACOSTA IDC
34101 FARENHOLT AVE STE 233
SAN DIEGO, CA 92134-7000
Phone number: 619-548-3754
Copy
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