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1265559298
GRACE WANG
FONTANA, CA
NPI
1265559298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 15522)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- GRACE WANG
9985 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-6995
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Mailing Address
-- GRACE WANG
9985 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-6995
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