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1699198614
JIMMY AUGUSTIN
WASHINGTON, DC
NPI
1699198614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: DC 2000006834)
Enumeration Date
2014-01-27
Last Update Date
2014-01-27
Business Address
JIMMY AUGUSTIN
4300 HAREWOOD RD NE
WASHINGTON, DC 20017-1513
Phone number: 202-529-0900
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Mailing Address
JIMMY AUGUSTIN
11517 AQUARIUS COURT
FORT WASHINGTON, MD 20744
Phone number: 240-603-1291
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