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1548285596
KAKLAM WONG
SAN JOSE, CA
NPI
1548285596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA RN576049)
Enumeration Date
2006-07-12
Last Update Date
2013-02-22
Business Address
KAKLAM WONG RNNP
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 408-885-7658
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Mailing Address
KAKLAM WONG RNNP
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 408-885-7658
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