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1104975580
DEANNA M WONG WAN
SAN DIEGO, CA
NPI
1104975580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT10793T)
Enumeration Date
2007-01-09
Last Update Date
2021-11-30
Business Address
DEANNA M WONG WAN OD
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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Mailing Address
DEANNA M WONG WAN OD
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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