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1629685672
MICHAEL IAN GUILLERMO
PLACERVILLE, CA
NPI
1629685672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 83168)
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
MICHAEL IAN GUILLERMO PharmD
1220 BROADWAY
PLACERVILLE, CA 95667-5806
Phone number: 530-626-5501
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Mailing Address
MICHAEL IAN GUILLERMO PharmD
6104 JEFJEN WAY
ELK GROVE, CA 95757-5990
Phone number: 707-227-8619
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