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1245275684
ALAN A D' AUGUSTINE
DETROIT, MI
NPI
1245275684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 5101008744)
Enumeration Date
2006-06-19
Last Update Date
2007-07-08
Business Address
ALAN A D' AUGUSTINE D.O.
3901 BEAUBIEN ST
DETROIT, MI 48201-2119
Phone number: 313-966-0965
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Mailing Address
ALAN A D' AUGUSTINE D.O.
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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