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1679071153
SHOU WANG
REDLANDS, CA
NPI
1679071153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA NP95007812)
Enumeration Date
2018-01-30
Last Update Date
2019-12-12
Business Address
SHOU WANG
26001 REDLANDS BLVD
REDLANDS, CA 92373-7762
Phone number: 909-478-7084
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Mailing Address
SHOU WANG
6545 GROVES CT
CHINO, CA 91710-7384
Phone number:
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