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1184765612
WING WANG
COLUMBIA, SC
NPI
1184765612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 740)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
-- WING WANG APRN
8301 FARROW RD
COLUMBIA, SC 29203-3245
Phone number: 803-935-6803
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Mailing Address
-- WING WANG APRN
103 HUNTCLIFF DR
COLUMBIA, SC 29229-3382
Phone number: 803-553-8849
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