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1700620374
ALAN EDWARD AUGDAHL
LIVINGSTON, NJ
NPI
1700620374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NJ F556043918516)
Enumeration Date
2024-06-19
Last Update Date
2024-06-19
Business Address
ALAN EDWARD AUGDAHL
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039-5672
Phone number: 973-322-5000
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Mailing Address
ALAN EDWARD AUGDAHL
200 BOYDEN AVE APT 237
MAPLEWOOD, NJ 07040-2578
Phone number: 612-747-8208
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