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1083761365
ELEAZAR SAN-AGUSTIN
MILWAUKEE, WI
NPI
1083761365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI 21832)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
-- ELEAZAR SAN-AGUSTIN M.D.
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216-2324
Phone number: 414-871-6122
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Mailing Address
-- ELEAZAR SAN-AGUSTIN M.D.
4390 DRUID CT
BROOKFIELD, WI 53005-1548
Phone number:
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