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1134716012
KENNETH L GUY
IRVING, TX
NPI
1134716012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704299199)
Enumeration Date
2020-12-28
Last Update Date
2021-01-21
Business Address
KENNETH L GUY
6225 NORTH STATE HWY 161 STE 200
IRVING, TX 75038-2241
Phone number: 214-687-1000
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Mailing Address
KENNETH L GUY
24613 FAIRLAWN DR
FLAT ROCK, MI 48134-2768
Phone number: 734-626-9949
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