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1316199656
JOANNA KONG
PICO RIVERA, CA
NPI
1316199656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA22348)
Enumeration Date
2008-10-17
Last Update Date
2012-08-08
Business Address
-- JOANNA KONG RPA-C
6758 PASSONS BLVD
PICO RIVERA, CA 90660-3666
Phone number: 562-654-6899
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Mailing Address
-- JOANNA KONG RPA-C
920 N KINGS RD APT 224
LOS ANGELES, CA 90069-4343
Phone number: 917-916-9155
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