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1497763932
TOM D. WANG
PORTLAND, OR
NPI
1497763932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207YS0123X Otolaryngology Facial Plastic Surgery
(Licence: OR 14868)
Enumeration Date
2006-08-03
Last Update Date
2007-07-13
Business Address
TOM D. WANG MD
3303 SW BOND AVE MAIL CODE: CH 5E
PORTLAND, OR 97239-4501
Phone number: 503-494-5678
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Mailing Address
TOM D. WANG MD
3303 SW BOND AVE MAIL CODE: CH 5E
PORTLAND, OR 97239-4501
Phone number: 503-494-5678
Copy
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