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Individual

AUGUST ALTOM

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
10601 US HIGHWAY 441, E1, LEESBURG, FL 34788-7237
(352) 315-8400
(352) 315-8488
Mailing address
5000 CHESHIRE LN N, PLYMOUTH, MN 55446-3706
(888) 333-9152
(763) 268-4240

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS2800
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J8027
GROUP ID NUMBER
FL
Enumeration date
06/05/2006
Last updated
07/08/2007
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