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1932311149
DANIEL JESSE COSTA JR
LISLE, IL
NPI
1932311149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
DR. DANIEL JESSE COSTA JR D.C.
4315 AZALEA DR SUITE 201
LISLE, IL 60532-1181
Phone number: 630-717-8900
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Mailing Address
DR. DANIEL JESSE COSTA JR D.C.
PO BOX 592
NAPERVILLE, IL 60566-0592
Phone number: 630-717-8900
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