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1295371193
DELUCIE AUGUSTIN
TAMPA, FL
NPI
1295371193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2019-11-26
Last Update Date
2019-11-26
Business Address
DELUCIE AUGUSTIN
8712 BUSCH OAKS ST
TAMPA, FL 33617-6006
Phone number: 813-526-3416
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Mailing Address
DELUCIE AUGUSTIN
8712 BUSCH OAKS ST
TAMPA, FL 33617-6006
Phone number: 813-526-3416
Copy
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