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Individual

BERNADETTE A AGUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN,RN,CNOR,RNFA

Contact information

Practice address
3220 THORNE HILL CT, RICHARDSON, TX 75082-3762
(469) 487-6177
Mailing address
3220 THORNE HILL CT, RICHARDSON, TX 75082-3762
(469) 487-6177

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
041288193
IL
163WR0006X
Registered Nurse First Assistant
Primary
618735
TX

Other

Enumeration date
04/28/2014
Last updated
04/28/2014
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