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Individual

JESSE DANIEL ACOSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
10501 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5019
(505) 727-2000
Mailing address
2425 CAMINO SEVILLE SE, RIO RANCHO, NM 87124-8851
(505) 417-1397

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75124
NM

Other

Enumeration date
08/08/2023
Last updated
08/08/2023
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