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1174803605
KELLY MARIE WONG
PLANTATION, FL
NPI
1174803605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AZ AP4100)
Enumeration Date
2011-08-29
Last Update Date
2023-06-20
Business Address
KELLY MARIE WONG NP
861 SW 78TH AVE STE 200B
PLANTATION, FL 33324-3273
Phone number: 877-693-5700
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Mailing Address
KELLY MARIE WONG NP
6553 E BAYWOOD AVE STE 201
MESA, AZ 85206-1754
Phone number: 480-467-2273
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