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1215469176
THERESA WONG
PASADENA, CA
NPI
1215469176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CA a159265)
Enumeration Date
2017-03-30
Last Update Date
2024-05-11
Business Address
THERESA WONG
800 FAIRMOUNT AVE
PASADENA, CA 91105-3150
Phone number: 626-765-5636
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Mailing Address
THERESA WONG
621 CAMINO CERRADO
SOUTH PASADENA, CA 91030-4103
Phone number:
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