Individual
MRS. STEPHANIE JO AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
330 CHARLES ST, HUTCHINSON, KS 67501-3905
(620) 615-5577
(620) 615-5752
Mailing address
330 CHARLES ST, HUTCHINSON, KS 67501-3905
(620) 615-5577
(620) 615-5752
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10047
KS
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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