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1487939427
MICKEY K WONG
TAMPA, FL
NPI
1487939427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL ps0022308)
Enumeration Date
2011-10-20
Last Update Date
2011-10-20
Business Address
-- MICKEY K WONG
9706 CYPRESS BROOK RD
TAMPA, FL 33647-1805
Phone number: 813-294-1199
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Mailing Address
-- MICKEY K WONG
9706 CYPRESS BROOK RD
TAMPA, FL 33647-1805
Phone number:
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