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Individual

REBECCA AUGUSTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH, PHARMD

Contact information

Practice address
1028 WISCONSIN AVE., BOSCOBEL, WI 53805
(608) 375-4466
(608) 375-2383
Mailing address
1028 WISCONSIN AVE., BOSCOBEL, WI 53805
(608) 375-4466
(608) 375-2383

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
WI
183500000X
Pharmacist
Primary
17573-40
WI

Other

Enumeration date
08/06/2014
Last updated
05/13/2022
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