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1184628695
KENNETH KAN TIN WONG
LOS ANGELES, CA
NPI
1184628695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: CA A70448)
Enumeration Date
2005-06-13
Last Update Date
2016-03-08
Business Address
-- KENNETH KAN TIN WONG MD
1441 EASTLAKE AVE
LOS ANGELES, CA 90089-0112
Phone number: 323-865-3050
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Mailing Address
-- KENNETH KAN TIN WONG MD
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-3050
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