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1457428674
JIM C. WANG
MORGANTOWN, WV
NPI
1457428674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: CA A79074)
Enumeration Date
2006-11-30
Last Update Date
2021-12-01
Business Address
JIM C. WANG MD
1 STADIUM DR
MORGANTOWN, WV 26506-7900
Phone number: 304-598-4820
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Mailing Address
JIM C. WANG MD
393 E WALNUT ST PHR GROUP PROVIDER ENROLLMENT 3RD FL
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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