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Individual

ERIC RAMON GUAJARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 477-5152
(919) 477-5474
Mailing address
PO BOX 15386, DURHAM, NC 27704-0386
(919) 477-5152

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01554
NC

Other

Enumeration date
09/30/2008
Last updated
03/12/2009
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