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1801473731
STACEY WONG
COSTA MESA, CA
NPI
1801473731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 299897)
Enumeration Date
2021-03-26
Last Update Date
2021-11-10
Business Address
STACEY WONG DPT
1520 NUTMEG PL STE 111
COSTA MESA, CA 92626-2557
Phone number: 714-979-3500
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Mailing Address
STACEY WONG DPT
17870 NEWHOPE ST STE 104-160
FOUNTAIN VALLEY, CA 92708-5439
Phone number: 714-429-0799
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