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AUGUSTA POULARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1 RABRO DR, HAUPPAUGE, NY 11788-4270
(631) 234-2000
Mailing address
91 POWELL PL, HEMPSTEAD, NY 11550-6308
(516) 485-2531

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
211063-1
NY

Other

Enumeration date
08/29/2008
Last updated
08/29/2008
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