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Individual

WILSON GARCIA ACOSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
278 POWDERHOUSE, SOMERVILLE, MA 02144
(161) 730-6017
Mailing address
278 POWDERHOUSE, SOMERVILLE, MA 02144

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/24/2014
Last updated
06/24/2014
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