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Individual
MARY JANE GUERRERO
Active
Individual
MARY JANE GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
685076
CA
363LF0000X
Family Nurse Practitioner
Primary
95001379
CA
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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