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Individual

CANDELARIA GUEJARRA LEGASPI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1171 S CAMERON ST, HARRISBURG, PA 17104
(717) 783-3620
Mailing address
2212 ASPEN WAY, HARRISBURG, PA 17110

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD018819E
PA

Other

Enumeration date
07/15/2015
Last updated
07/15/2015
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