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Individual
JAN S AUGENSTEIN
Active
Individual
JAN S AUGENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50000372
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000349509
ANTHEM
OH
Enumeration date
08/24/2005
Last updated
11/05/2009
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