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Individual
MARC GUILLEN
Active
Individual
MARC GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.019810
IL
225100000X
Physical Therapist
5802
OR
225100000X
Physical Therapist
60160970
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500605246
—
OR
Enumeration date
11/14/2008
Last updated
05/23/2023
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