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1194189852
HAILON WONG
FORT MYERS, FL
NPI
1194189852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 62649)
Enumeration Date
2016-04-08
Last Update Date
2021-03-30
Business Address
HAILON WONG
2780 CLEVELAND AVE STE 8709
FORT MYERS, FL 33901-5858
Phone number: 239-343-3831
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Mailing Address
HAILON WONG
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-3831
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