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1164198644
KONG MENG P YANG
SHEBOYGAN, WI
NPI
1164198644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 11187)
Enumeration Date
2021-08-17
Last Update Date
2024-09-20
Business Address
KONG MENG P YANG NP
1813 ASHLAND AVE
SHEBOYGAN, WI 53081-6125
Phone number: 920-458-4010
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Mailing Address
KONG MENG P YANG NP
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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