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1407205990
TERESA GUASTELLA
LIVONIA, MI
NPI
1407205990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007807)
Enumeration Date
2016-06-06
Last Update Date
2017-07-08
Business Address
TERESA GUASTELLA PA-C
36475 5 MILE RD
LIVONIA, MI 48154-1971
Phone number: 734-655-4800
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Mailing Address
TERESA GUASTELLA PA-C
7750 EMBASSY
CANTON, MI 48187
Phone number:
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