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MR. RICHARD C. ACOSTA

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1467620567

Individual Registrant:
MR. RICHARD C. ACOSTA 
Gender: M
Sole Proprietor

Location and contact information for practice:
1500 E 15TH ST  DOUGLAS, AZ 85607-1731 US
Tel: 520-364-3462  Fax: 520-805-4171

Contact information for business:
1500 E 15TH ST  DOUGLAS, AZ 85607-1731 US
Tel: 520-364-3462  Fax: 520-805-4171

Registration Information:
NPI: 1467620567
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
AZ

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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