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1225117096
WEN LONG
LOMA LINDA, CA
NPI
1225117096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17964)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
-- WEN LONG P.A.
11234 ANDERSON ST STE. 1405
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4252
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Mailing Address
-- WEN LONG P.A.
54701 FILE NUMBER
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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