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Twanna Rochelle Augustine

Specialist in Omaha, NE. Individual provider (NPI-1).

NPI number1124825005
StatusActive
Last updated in NPPESFeb 27, 2025

Details

NPI
1124825005
Entity type
Individual (NPI-1)
Name
Twanna Rochelle Augustine
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 27, 2025
Certification date
Feb 27, 2025
Last updated
Feb 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

4531 O Street
Omaha, NE 68117-2114

Phone 402-812-6284

Mailing address

4531 O St
Omaha, NE 68117-2114

Phone 402-812-6284

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