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Individual
REBEKAH AUGUSTINE
Active
Individual
REBEKAH AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024168551
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06695
GROUP PTAN
VA
Enumeration date
03/10/2010
Last updated
04/20/2012
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