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1063537934
GLENN WONG
SANTA CRUZ, CA
NPI
1063537934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: CA 20A10095)
Enumeration Date
2007-03-20
Last Update Date
2011-11-04
Business Address
GLENN WONG DO
2850 COMMERCIAL XING
SANTA CRUZ, CA 95065-1702
Phone number: 831-460-7355
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Mailing Address
GLENN WONG DO
2025 SOQUEL AVE
SANTA CRUZ, CA 95062-1323
Phone number: 831-479-6603
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