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1508805011
VIVIAN W WONG
VISTA, CA
NPI
1508805011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A67528)
Enumeration Date
2006-06-06
Last Update Date
2021-11-30
Business Address
-- VIVIAN W WONG M.D.
1000 VALE TERRACE DR (VISTA COMMUNITY CLINIC)
VISTA, CA 92084-5218
Phone number: 760-631-5000
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Mailing Address
-- VIVIAN W WONG M.D.
6007 FIRWOOD ROW
LA JOLLA, CA 92037-0922
Phone number: 858-729-0165
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