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1013587708
CHARLES GREGORY AUGUSTUS
PASADENA, CA
NPI
1013587708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
CHARLES GREGORY AUGUSTUS
867 N FAIR OAKS AVE
PASADENA, CA 91103-3050
Phone number: 626-111-1111
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Mailing Address
CHARLES GREGORY AUGUSTUS
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number:
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