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1255025029
LI MIAO WANG
VICTORVILLE, CA
NPI
1255025029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
LI MIAO WANG PA-C
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395-5794
Phone number: 760-241-8000
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Mailing Address
LI MIAO WANG PA-C
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395-5794
Phone number: 760-241-8000
Copy
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