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1508839481
PAUL WANG
COAL VALLEY, IL
NPI
1508839481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036092209)
Enumeration Date
2006-02-10
Last Update Date
2014-01-15
Business Address
Dr. PAUL WANG MD
104 W 18TH AVE
COAL VALLEY, IL 61240-9337
Phone number: 309-799-7518
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Mailing Address
Dr. PAUL WANG MD
104 W 18TH AVE
COAL VALLEY, IL 61240-9337
Phone number: 309-799-7518
Copy
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