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Individual

AGUSTIN E RIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
21 EASTMAN AVE, BEDFORD, NH 03110-6701
(603) 625-5772
(603) 625-9889
Mailing address
21 EASTMAN AVE, BEDFORD, NH 03110-6701
(603) 625-5772
(603) 625-9889

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0271
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40003762
NH
Enumeration date
10/12/2005
Last updated
09/27/2011
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