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1447428412
STACY LYNN WONG
WALNUT CREEK, CA
NPI
1447428412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: CA 33995)
Enumeration Date
2008-02-13
Last Update Date
2014-03-03
Business Address
-- STACY LYNN WONG DPT
2405 SHADELANDS DR
WALNUT CREEK, CA 94598-2444
Phone number: 925-939-8585
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Mailing Address
-- STACY LYNN WONG DPT
PO BOX 31396
WALNUT CREEK, CA 94598-8396
Phone number: 925-939-8585
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