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1912021239
LOUIS P GUILLAUME
FOREST HILLS, NY
NPI
1912021239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 000141)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- LOUIS P GUILLAUME OPA
7035 113TH ST
FOREST HILLS, NY 11375-4651
Phone number: 718-990-4100
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Mailing Address
-- LOUIS P GUILLAUME OPA
7035 113TH ST
FOREST HILLS, NY 11375-4651
Phone number: 718-990-4100
Copy
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