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Gustavo Urbina
NPI 1497291116 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4623 75th St
Suite 279
Kenosha, WI 53142 - Phone
- (773) 495-3796
- Organisation at this address
- Kenosha Shuttle Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Sex
- Male
- Record last updated
- 2017-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin