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1417775719
MARK GUANO SEVILLA
FRESNO, CA
NPI
1417775719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 759419)
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
MARK GUANO SEVILLA
2615 E CLINTON AVE
FRESNO, CA 93703-2223
Phone number: 559-225-6100
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Mailing Address
MARK GUANO SEVILLA
3088 WRENWOOD AVE
CLOVIS, CA 93619-9396
Phone number: 518-253-1532
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