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1639524333
JOSE ENRIQUE GUILLEN
ATLANTA, GA
NPI
1639524333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX 1132245)
Enumeration Date
2016-05-01
Last Update Date
2016-05-01
Business Address
-- JOSE ENRIQUE GUILLEN PA-C
1715 CHILDERLEE LN NE
ATLANTA, GA 30329-2434
Phone number: 503-442-7307
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Mailing Address
-- JOSE ENRIQUE GUILLEN PA-C
7921 BERMEJO RD
FT WORTH, TX 76112-6144
Phone number: 503-442-7307
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