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1902286198
LAUREN GUASTELLA
WEST BLOOMFIELD, MI
NPI
1902286198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007343)
Enumeration Date
2015-06-03
Last Update Date
2018-03-14
Business Address
LAUREN GUASTELLA
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322-3013
Phone number: 313-916-3618
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Mailing Address
LAUREN GUASTELLA
13771 WELLINGTON DR
STERLING HEIGHTS, MI 48313-3479
Phone number: 586-482-0178
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