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1194404632
BRANDON WONG
BALDWIN PARK, CA
NPI
1194404632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 62828)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
BRANDON WONG PA-C
351 PARK SHADOW CT
BALDWIN PARK, CA 91706-3295
Phone number: 626-731-0152
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Mailing Address
BRANDON WONG PA-C
2275 HUNTINGTON DR # 104
SAN MARINO, CA 91108-2640
Phone number: 626-731-0152
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