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1225787989
SPENCER WONG
LA JOLLA, CA
NPI
1225787989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA61187)
Enumeration Date
2022-03-21
Last Update Date
2022-06-21
Business Address
SPENCER WONG PA-C
9898 GENESEE AVE FL 3
LA JOLLA, CA 92037-1205
Phone number: 858-824-5363
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Mailing Address
SPENCER WONG PA-C
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-824-5363
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