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1083058028
DIANA AUGUST
FAIRFIELD, CT
NPI
1083058028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CT 000451)
Enumeration Date
2013-04-22
Last Update Date
2013-04-22
Business Address
-- DIANA AUGUST
175 JEFFERSON ST
FAIRFIELD, CT 06825-1078
Phone number: 203-365-6443
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Mailing Address
-- DIANA AUGUST
175 JEFFERSON ST
FAIRFIELD, CT 06825-1078
Phone number:
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