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Individual
REGAN WONG
Active
Individual
REGAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1163013
TX
Other
Enumeration date
06/02/2009
Last updated
02/16/2010
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