JOHNATHAN AUGUSTINE

ALEXANDRIA, LA
NPI1396268918
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  AP09511)
Enumeration Date2017-07-25
Last Update Date2017-07-25
Business Address
JOHNATHAN AUGUSTINE
5920 COLISEUM BLVD
ALEXANDRIA, LA 71303-3714
Phone number: 318-443-9339
Mailing Address
JOHNATHAN AUGUSTINE
151 LAURAS LN
MARKSVILLE, LA 71351-3960
Phone number:
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