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1770928483
BRIAN WONG
ONTARIO, CA
NPI
1770928483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA 5235)
Enumeration Date
2013-05-08
Last Update Date
2018-11-19
Business Address
BRIAN WONG
1520 N MOUNTAIN AVE # E122
ONTARIO, CA 91762-1128
Phone number: 909-623-4484
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Mailing Address
BRIAN WONG
1520 N MOUNTAIN AVE # E122
ONTARIO, CA 91762-1128
Phone number: 909-623-4484
Copy
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