SUN JIANG GUO

FORT WAYNE, IN
NPI1942211362
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: IN  01029090A)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
-- SUN JIANG GUO m.d.
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
-- SUN JIANG GUO m.d.
8916 LAUREL HURST
FORT WAYNE, IN 46835-8866
Phone number: 260-485-9718
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