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1760060693
NICOLE SOO WONG
PORTLAND, OR
NPI
1760060693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-31
Last Update Date
2021-03-31
Business Address
NICOLE SOO WONG MD
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
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Mailing Address
NICOLE SOO WONG MD
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239-3098
Phone number: 956-693-3588
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