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Individual

MR. DANIEL AUGUSTINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAPS

Contact information

Practice address
509 W 22ND ST, LL, MINNEAPOLIS, MN 55405-3202
(612) 724-1911
(612) 724-1851
Mailing address
509 W 22ND ST, LL, MINNEAPOLIS, MN 55405-3202
(612) 724-1911
(612) 724-1851

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
20065360
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171562
U CARE MN
MN
05
715314700
MN
Enumeration date
03/11/2008
Last updated
04/19/2011
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