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1083315733
SAMUEL AUGUSTIN
DOWNEY, CA
NPI
1083315733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2023-03-10
Last Update Date
2024-09-10
Business Address
SAMUEL AUGUSTIN
7735 LEEDS ST
DOWNEY, CA 90242-3489
Phone number: 310-221-6336
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Mailing Address
SAMUEL AUGUSTIN
7735 LEEDS ST
DOWNEY, CA 90242-3489
Phone number: 310-221-6336
Copy
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