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1508470709
BRYAN YING WONG
CHICAGO, IL
NPI
1508470709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085002795)
Enumeration Date
2020-09-04
Last Update Date
2020-09-04
Business Address
BRYAN YING WONG PA
3420 S MORGAN ST APT 2E
CHICAGO, IL 60608-6904
Phone number: 214-771-8478
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Mailing Address
BRYAN YING WONG PA
3420 S MORGAN ST APT 2E
CHICAGO, IL 60608-6904
Phone number: 214-771-8478
Copy
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