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1063401248
CHARLES W WONG
HARTFORD, KY
NPI
1063401248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 2041)
Enumeration Date
2005-10-19
Last Update Date
2010-01-09
Business Address
Dr. CHARLES W WONG DO
310 S MAIN ST
HARTFORD, KY 42347-1129
Phone number: 270-298-9136
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Mailing Address
Dr. CHARLES W WONG DO
310 S MAIN ST PO BOX 148
HARTFORD, KY 42347-1129
Phone number: 270-298-9136
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