Individual
MARCELLO LABRADOR GAYAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 SMITH AVE N, 500, ST PAUL, MN 55102
(651) 292-0616
(651) 379-4484
Mailing address
225 SMITH AVE N, 500, ST PAUL, MN 55102
(651) 292-0616
(651) 379-4484
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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