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1366971129
BRUCE WAYNE AUGUSTONOVICH
LAWRENCE, MA
NPI
1366971129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2017-06-06
Last Update Date
2017-06-06
Business Address
BRUCE WAYNE AUGUSTONOVICH
12 METHUEN ST
LAWRENCE, MA 01840-1700
Phone number: 978-620-1719
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Mailing Address
BRUCE WAYNE AUGUSTONOVICH
12 METHUEN ST
LAWRENCE, MA 01840-1700
Phone number:
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