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1477897684
DOUGLAS EBIN WONG
RIVERSIDE, CA
NPI
1477897684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 22671)
Enumeration Date
2012-11-15
Last Update Date
2021-12-02
Business Address
DOUGLAS EBIN WONG
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 951-353-2000
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Mailing Address
DOUGLAS EBIN WONG
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 951-353-2000
Copy
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