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1922404888
JESSICA JENAE ACOSTA-VAN DEN BERG
CLINTON, OK
NPI
1922404888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 96005)
Enumeration Date
2014-11-05
Last Update Date
2014-11-05
Business Address
-- JESSICA JENAE ACOSTA-VAN DEN BERG APRN-CNP
10321 N 2274 RD
CLINTON, OK 73601-7521
Phone number: 580-331-3300
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Mailing Address
-- JESSICA JENAE ACOSTA-VAN DEN BERG APRN-CNP
10321 N 2274 RD
CLINTON, OK 73601-7521
Phone number: 580-331-3300
Copy
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