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Individual
KIMBERLY WONG
Active
Individual
KIMBERLY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
687077
NY
363LF0000X
Family Nurse Practitioner
Primary
NP95004565
CA
Other
Enumeration date
07/17/2015
Last updated
06/11/2020
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