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Individual
QIAN GUO
Active
Individual
QIAN GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01056116A
IN
207L00000X
Anesthesiology Physician
Primary
036115031
IL
Other
Enumeration date
06/12/2006
Last updated
04/20/2015
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