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Individual
MR. OI SHAN WONG
Active
Individual
MR. OI SHAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
95001919
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95001919
CA
Other
Enumeration date
01/29/2015
Last updated
07/21/2022
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