Individual
MARC-ALE L. CHRISTIAN AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1847 NEIL AVE, COLUMBUS, OH 43210-1222
(614) 247-4723
Mailing address
58 RIVERSIDE DR, SUFFERN, NY 10901-6134
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2018
Last updated
05/28/2021
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