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Individual
LISA J AUGUST
Active
Individual
LISA J AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11771
NC
225100000X
Physical Therapist
PT9662
OH
Other
Enumeration date
05/11/2006
Last updated
01/21/2009
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