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Individual
ANDRE AUGUSTIN
Active
Individual
ANDRE AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
26NJ01282100
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01282100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ01282100
NP
NJ
Enumeration date
03/11/2022
Last updated
04/07/2022
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