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Individual
ANI QU
Active
Individual
ANI QU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAB DIRECTOR
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
25MS00021900
NJ
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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