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1982664165
AUGUSTO R. DE LEON
PALM COAST, FL
NPI
1982664165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
173000000X Legal Medicine
(Licence: FL ME0066795)
Enumeration Date
2006-03-23
Last Update Date
2016-02-22
Business Address
AUGUSTO R. DE LEON M.D.
309 PALM COAST PKWY NE
PALM COAST, FL 32137-3886
Phone number: 386-445-7073
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Mailing Address
AUGUSTO R. DE LEON M.D.
PO BOX 9671
DAYTONA BEACH, FL 32120-9671
Phone number: 386-676-7130
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