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1780435446
AUGUSTIN EDWARD BEALL
SACRAMENTO, CA
NPI
1780435446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
AUGUSTIN EDWARD BEALL
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 443-812-8867
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Mailing Address
AUGUSTIN EDWARD BEALL
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number:
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