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1356766968
KENNETH WONG
MASPETH, NY
NPI
1356766968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 055672)
Enumeration Date
2014-02-19
Last Update Date
2014-02-19
Business Address
-- KENNETH WONG
6980 GRAND AVE
MASPETH, NY 11378-1828
Phone number: 718-424-2846
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Mailing Address
-- KENNETH WONG
220 JERICHO TPKE STE 2
MINEOLA, NY 11501-1614
Phone number: 917-822-0102
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