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1346064136
SHAOXUAN GUO
FORT WAYNE, IN
NPI
1346064136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: IN 1)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2024-11-08
Last Update Date
2024-11-08
Business Address
SHAOXUAN GUO
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: 260-266-2770
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Mailing Address
SHAOXUAN GUO
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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