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Individual
SALLY J GUTHMILLER
Active
Individual
SALLY J GUTHMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
076029
IA
363A00000X
Physician Assistant
Primary
997
NE
363AS0400X
Surgical Physician Assistant
997
NE
Other
Enumeration date
05/05/2006
Last updated
12/31/2020
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