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1285096552
LISA JUE WANG
EAST SETAUKET, NY
NPI
1285096552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 299261)
Enumeration Date
2016-03-24
Last Update Date
2022-01-12
Business Address
LISA JUE WANG
21 DEER LN
EAST SETAUKET, NY 11733-3406
Phone number: 631-413-5430
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Mailing Address
LISA JUE WANG
21 DEER LN
EAST SETAUKET, NY 11733-3406
Phone number: 631-413-5430
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