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Individual

LAMAR DEAN GUNDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7644 E POPLAR RD, CLARE, MI 48617-9784
(989) 386-7808
Mailing address
7644 E POPLAR RD, CLARE, MI 48617-9784
(989) 386-7808

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AF180001485
MI

Other

Enumeration date
12/20/2011
Last updated
12/20/2011
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