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Individual
SKY WANG
Active
Individual
SKY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
144810
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW3232267556
—
CA
Enumeration date
04/30/2015
Last updated
10/20/2016
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