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1134825284
KELLY WONG
LAGUNA HILLS, CA
NPI
1134825284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA62248)
Enumeration Date
2023-01-31
Last Update Date
2023-01-31
Business Address
KELLY WONG PA
24431 CALLE DE LA LOUISA STE 200
LAGUNA HILLS, CA 92653-7641
Phone number: 949-266-0216
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Mailing Address
KELLY WONG PA
20687 AMAR RD STE 2-818
WALNUT, CA 91789-5044
Phone number:
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