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1346904604
STEPHANIE WONG
IRVINE, CA
NPI
1346904604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA60180)
Enumeration Date
2021-10-23
Last Update Date
2021-10-23
Business Address
STEPHANIE WONG PA-C
19742 MACARTHUR BLVD
IRVINE, CA 92612-2432
Phone number: 949-428-0330
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Mailing Address
STEPHANIE WONG PA-C
18 WILD ROSE PL
ALISO VIEJO, CA 92656-7058
Phone number: 949-648-9073
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