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Individual

MR. KARL LOUIS GUILLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AAS

Contact information

Practice address
740 W CALLE ALTA LOMA, ORO VALLEY, AZ 85737-7099
(520) 870-8324
(520) 297-5355
Mailing address
740 W CALLE ALTA LOMA, ORO VALLEY, AZ 85737-7099
(520) 870-8324
(520) 297-5355

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
77614AZ
77614AZ
Enumeration date
10/07/2021
Last updated
10/07/2021
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