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1184460651
WONKYUNG CHANG
CANANDAIGUA, NY
NPI
1184460651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 406001)
Enumeration Date
2024-07-03
Last Update Date
2024-07-03
Business Address
WONKYUNG CHANG
42 N MAIN ST
CANANDAIGUA, NY 14424-1446
Phone number: 585-919-0014
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Mailing Address
WONKYUNG CHANG
11 S MARVINE AVE
AUBURN, NY 13021-4313
Phone number: 646-318-1811
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