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1184937088
JUANITA L WONG
SAN DIEGO, CA
NPI
1184937088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT25113)
Enumeration Date
2010-07-20
Last Update Date
2023-09-19
Business Address
JUANITA L WONG
3491 KURTZ ST
SAN DIEGO, CA 92110-4430
Phone number: 619-320-2404
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Mailing Address
JUANITA L WONG
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110-4430
Phone number: 619-320-2404
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