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1760842199
LAINE D'AUGUSTINE
SAN DIEGO, CA
NPI
1760842199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-02-26
Last Update Date
2019-07-30
Business Address
LAINE D'AUGUSTINE
5333 MISSION CENTER RD STE 100
SAN DIEGO, CA 92108-1347
Phone number: 619-295-3355
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Mailing Address
LAINE D'AUGUSTINE
3570 WILSHIRE TER
SAN DIEGO, CA 92104-3230
Phone number:
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