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Israel Guajardo
NPI 1740691922 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4097 E 104th St
Grant, MI 49327 - Phone
- (231) 224-3377
- Fax
- (231) 834-5031
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-09
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 Michigan