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1598468092
JASON WONG
CHICAGO, IL
NPI
1598468092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 86065797)
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
JASON WONG RD, LDN
820 S DAMEN AVE DAMEN 3547
CHICAGO, IL 60612-3728
Phone number: 312-752-5511
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Mailing Address
JASON WONG RD, LDN
820 SOUTH DAMEN AVENUE DAMEN 3547
CHICAGO, IL 60612
Phone number: 312-752-5511
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