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1821670530
CORRIE WONG
NORTHRIDGE, CA
NPI
1821670530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 300000)
Enumeration Date
2021-04-22
Last Update Date
2021-04-22
Business Address
CORRIE WONG
11260 WILBUR AVE STE 101
NORTHRIDGE, CA 91326-2450
Phone number: 818-832-5656
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Mailing Address
CORRIE WONG
912 N CORDOVA ST
ALHAMBRA, CA 91801-1107
Phone number: 626-808-7414
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