Individual
BROOKE MARIE GUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2037 W MAIN ST, CABOT, AR 72023-7479
(501) 843-4555
Mailing address
2037 W MAIN ST, CABOT, AR 72023-7479
(501) 843-4555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-590
AR
Other
Enumeration date
02/04/2015
Last updated
03/01/2016
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