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1770225294
EMILY DACOSTA
CHICAGO, IL
NPI
1770225294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND10107)
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
EMILY DACOSTA
2551 N CLARK ST
CHICAGO, IL 60614-1798
Phone number: 312-533-1754
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Mailing Address
EMILY DACOSTA
226 HAYES CT
LAVALLETTE, NJ 08735-3109
Phone number:
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