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1174152128
IAN WONG
SAN DIEGO, CA
NPI
1174152128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA 20A22519)
Enumeration Date
2020-04-02
Last Update Date
2024-09-27
Business Address
IAN WONG
11943 EL CAMINO REAL STE 210
SAN DIEGO, CA 92130-2597
Phone number: 858-793-1011
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Mailing Address
IAN WONG
11943 EL CAMINO REAL STE 210
SAN DIEGO, CA 92130-2597
Phone number:
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