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Individual

JAIME MARIA GUERRERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
614 E CHESTNUT ST, LOUISVILLE, KY 40202-1604
(502) 589-0900
(502) 589-9928
Mailing address
302 STAG CIR, SELLERSBURG, IN 47172-9774
(502) 640-0618
(502) 238-2889

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01047755A
IN
207L00000X
Anesthesiology Physician
Primary
30735
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000393692
ANTHEM
Enumeration date
02/13/2006
Last updated
11/28/2007
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