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1245763317
FANIE AUGUSTAMA
SUNRISE, FL
NPI
1245763317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2017-04-06
Last Update Date
2017-04-06
Business Address
-- FANIE AUGUSTAMA
8632 NW 34TH PL APT C102
SUNRISE, FL 33351-6652
Phone number: 954-245-2401
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Mailing Address
-- FANIE AUGUSTAMA
8632 NW 34TH PL APT C102
SUNRISE, FL 33351-6652
Phone number: 954-245-2401
Copy
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