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1225567472
GORDON WONG
PHOENIX, AZ
NPI
1225567472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-06-09
Last Update Date
2022-07-21
Business Address
Mr. GORDON WONG
1441 N 12TH ST FL 3
PHOENIX, AZ 85006-2837
Phone number: 602-521-5977
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Mailing Address
Mr. GORDON WONG
1441 NORTH 12TH STREET 3RD FLOOR
PHOENIX, AZ 85006
Phone number: 602-521-5977
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