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1053971226
MONIQUE CLYTIE AGUSTIN
DURHAM, NC
NPI
1053971226
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Former Name
MONIC CLYTIE AGUSTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC f03190257)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
MONIQUE CLYTIE AGUSTIN FNP-C
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-684-8111
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Mailing Address
MONIQUE CLYTIE AGUSTIN FNP-C
10710 FOREMOST DR APT 410
RALEIGH, NC 27617-4441
Phone number: 919-265-9415
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