GUSTAVO URBINA

KENOSHA, WI
NPI1497291116
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2017-01-19
Last Update Date2017-01-19
Business Address
GUSTAVO URBINA
4623 75TH ST SUITE 279
KENOSHA, WI 53142-3701
Phone number: 773-495-3796
Mailing Address
GUSTAVO URBINA
4623 75TH ST SUITE 279
KENOSHA, WI 53142-3701
Phone number: 773-495-3796
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