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Individual
LAUREN JAYNE GUGINO
Active
Individual
LAUREN JAYNE GUGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
MED-PAC-LIC-96642
MT
363A00000X
Physician Assistant
Primary
026348
NY
363A00000X
Physician Assistant
MED-PAC-LIC-96642
MT
Other
Enumeration date
04/23/2020
Last updated
07/05/2022
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