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1396984118
JORDAN WONG
EL CAJON, CA
NPI
1396984118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 20219)
Enumeration Date
2009-02-18
Last Update Date
2019-11-08
Business Address
JORDAN WONG PA
234 N MAGNOLIA AVE
EL CAJON, CA 92020-3906
Phone number: 619-579-8373
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Mailing Address
JORDAN WONG PA
234 N MAGNOLIA AVE
EL CAJON, CA 92020-3906
Phone number: 619-579-8373
Copy
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