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1306959168
LI Q QIAO
LOS ANGELES, CA
NPI
1306959168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: CA PA16087)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
LI Q QIAO PA
2825 W 8TH ST 102
LOS ANGELES, CA 90005-1291
Phone number: 213-380-8998
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Mailing Address
LI Q QIAO PA
12840 RIVERSIDE DR #300
NORTH HOLLYWOOD, CA 91607-3327
Phone number: 818-655-9900
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