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Individual
MARCELO AGUSTIN
Active
Individual
MARCELO AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
201220087CMA
OR
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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