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1861801052
YISHAN GUO
FLUSHING, NY
NPI
1861801052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 025623)
Enumeration Date
2014-08-13
Last Update Date
2016-12-01
Business Address
-- YISHAN GUO
16702 45TH AVE
FLUSHING, NY 11358-3258
Phone number: 718-762-5995
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Mailing Address
-- YISHAN GUO
6815 SELFRIDGE ST APT 4E
FOREST HILLS, NY 11375-5712
Phone number: 646-318-2329
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