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Individual

JACQUELINE J GUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A77734
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A777340
CA
05
EAP70436F
CA
05
FHC70436F
CA
05
HAP70436F
CA
01
W11698
GROUP ID
CA
Enumeration date
02/22/2007
Last updated
10/15/2015
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