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1992413397
MICAH AKM WONG
LEBANON, OR
NPI
1992413397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 64057)
Enumeration Date
2022-11-14
Last Update Date
2022-11-14
Business Address
Dr. MICAH AKM WONG DPT
525 N SANTIAM HWY
LEBANON, OR 97355-4363
Phone number: 541-451-7125
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Mailing Address
Dr. MICAH AKM WONG DPT
525 N SANTIAM HWY
LEBANON, OR 97355-4363
Phone number: 541-451-7125
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