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1992837843
ELAINE GRACE AGUSTIN
SAN BERNARDINO, CA
NPI
1992837843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP 13423)
Enumeration Date
2007-03-09
Last Update Date
2021-01-21
Business Address
ELAINE GRACE AGUSTIN N.P.
401 E HIGHLAND AVE SUITE 551
SAN BERNARDINO, CA 92404-3803
Phone number: 909-882-9150
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Mailing Address
ELAINE GRACE AGUSTIN N.P.
4485 CLEVELAND AVE APT 5
SAN DIEGO, CA 92116-3985
Phone number: 626-484-7719
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