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1922681378
JOHNATHAN ACOSTA
OAKLAND PARK, FL
NPI
1922681378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL IMH20902)
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
JOHNATHAN ACOSTA
5757 N DIXIE HWY
OAKLAND PARK, FL 33334-4135
Phone number: 954-734-2066
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Mailing Address
JOHNATHAN ACOSTA
5757 N DIXIE HWY
OAKLAND PARK, FL 33334-4135
Phone number: 954-734-2066
Copy
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