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1740674696
DEBBIE WANG
NORTHRIDGE, CA
NPI
1740674696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-03-27
Last Update Date
2021-11-23
Business Address
DEBBIE WANG D.O.
18406 ROSCOE BLVD
NORTHRIDGE, CA 91325-4107
Phone number: 818-993-4054
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Mailing Address
DEBBIE WANG D.O.
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number: 916-379-2861
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