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1407204829
JUAN FULGENCIO MERCADO GUZMAN
APO, AP
NPI
1407204829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2016-05-26
Last Update Date
2020-08-07
Business Address
JUAN FULGENCIO MERCADO GUZMAN PA-C
18TH MEDICAL GROUP UNIT 5142
APO, AP 96368
Phone number: 315-630-4780
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Mailing Address
JUAN FULGENCIO MERCADO GUZMAN PA-C
PSC 80 BOX 17378
APO, AP 96367-0076
Phone number:
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