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1992153977
KENNETH WONG
SAN FRANCISCO, CA
NPI
1992153977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 61473)
Enumeration Date
2016-05-31
Last Update Date
2022-11-10
Business Address
KENNETH WONG
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143-2204
Phone number: 407-925-8943
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Mailing Address
KENNETH WONG
1411 E 31ST ST
OAKLAND, CA 94602-1092
Phone number: 510-437-4800
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