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1225778848
GUILLERMO POLANCO SERRA
CLINTON TOWNSHIP, MI
NPI
1225778848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-31
Last Update Date
2022-03-31
Business Address
GUILLERMO POLANCO SERRA MD
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038-3504
Phone number: 586-263-2976
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Mailing Address
GUILLERMO POLANCO SERRA MD
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038-3504
Phone number:
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