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1619058377
LORETTA D AUGUSTINE
BROOKSVILLE, FL
NPI
1619058377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: FL ME0049362)
Enumeration Date
2006-10-18
Last Update Date
2012-05-31
Business Address
-- LORETTA D AUGUSTINE M.D.
17240 CORTEZ BLVD
BROOKSVILLE, FL 34601-8921
Phone number: 352-544-6050
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Mailing Address
-- LORETTA D AUGUSTINE M.D.
5901 SW 74TH ST SUITE 202
MIAMI, FL 33143-5165
Phone number: 305-665-4614
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