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Organization

LG&H INTERNAL MEDICINE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDOLPH FLORES LEON GUERRERO MD (PHYSICIAN)
(671) 475-5544
Entity
Organization

Contact information

Practice address
J&G COMMERCIAL PLAZA BLDG C, SUITE 107, HAGATNA, GU 96910
(671) 475-5544
(671) 475-5545
Mailing address
PO BOX 3268, HAGATNA, GU 96932-3268
(671) 475-5544
(671) 475-5545

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-1647
GU

Other

Enumeration date
04/15/2011
Last updated
04/15/2011
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