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Individual
KATHLEEN ANN GUO
Active
Individual
KATHLEEN ANN GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
693730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93943329A44097
MEDICAL
CA
Enumeration date
10/10/2018
Last updated
10/10/2018
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