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1407303753
EVELYN WANGSA
MORENO VALLEY, CA
NPI
1407303753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 95004913)
Enumeration Date
2016-09-03
Last Update Date
2016-09-03
Business Address
-- EVELYN WANGSA
11441 HEACOCK ST
MORENO VALLEY, CA 92557-7907
Phone number: 562-293-8777
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Mailing Address
-- EVELYN WANGSA
9518 LOWER AZUSA RD
TEMPLE CITY, CA 91780-4221
Phone number: 562-293-8777
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