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1861712150
RAFAEL ACOSTA
GLENDALE, CA
NPI
1861712150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 14942)
Enumeration Date
2010-06-09
Last Update Date
2010-06-09
Business Address
Mr. RAFAEL ACOSTA Rafael Acosta
222 W. EULALIA SUITE 201
GLENDALE, CA 91204-2851
Phone number: 818-240-0601
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Mailing Address
Mr. RAFAEL ACOSTA Rafael Acosta
16 ELMHURST ST.
LADERA RANCH, CA 92694-0851
Phone number: 949-412-8013
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