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1013561539
ANNIE LUU WONG
PHILADELPHIA, PA
NPI
1013561539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP018720)
Enumeration Date
2019-08-01
Last Update Date
2020-08-10
Business Address
ANNIE LUU WONG DNP
6501 HARBISON AVE
PHILADELPHIA, PA 19149-2912
Phone number: 215-333-4300
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Mailing Address
ANNIE LUU WONG DNP
640 KERPER ST
PHILADELPHIA, PA 19111-4702
Phone number: 215-667-5407
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