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Individual

MRS. GAYLE D GUERNSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 PARK AVE, FOSTORIA, OH 44830-1455
(419) 435-8163
Mailing address
1001 PARK AVE, FOSTORIA, OH 44830-1455
(419) 435-8163

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0430
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043992
OH
Enumeration date
11/26/2014
Last updated
11/26/2014
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