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1174768550
WAI LIN W MO
STATEN ISLAND, NY
NPI
1174768550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 012921)
Enumeration Date
2008-12-12
Last Update Date
2011-12-13
Business Address
Mr. WAI LIN W MO P.A.
392 SEGUINE AVE
STATEN ISLAND, NY 10309-3906
Phone number: 718-226-3804
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Mailing Address
Mr. WAI LIN W MO P.A.
392 SEGUINE AVE
STATEN ISLAND, NY 10309-3906
Phone number: 718-226-3804
Copy
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