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Individual

DAVID GUIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3120 W MARKET ST, WARREN, OH 44485-3069
(330) 898-6992
Mailing address
535 MARMION AVE, YOUNGSTOWN, OH 44502-2323
(330) 782-5664

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN123224-M-IV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0803312
OH
Enumeration date
04/12/2012
Last updated
04/12/2012
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