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Individual

DAVAUGHN ALSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
239 4TH AVE STE 1401, PITTSBURGH, PA 15222-1715
(866) 992-2538
Mailing address
116 CLINTON ST, MC KEES ROCKS, PA 15136-1919
(412) 883-1326

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
62983601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1040111300001
PA
Enumeration date
06/30/2022
Last updated
07/04/2022
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