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Individual

GRACE WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6500 S QUEBEC ST, SUITE 300, ENGLEWOOD, CO 80111-4671
(303) 320-5503
(303) 220-9134
Mailing address
PO BOX 200428, DENVER, CO 80220-0428
(303) 320-5503

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38199
CO

Other

Enumeration date
03/21/2007
Last updated
05/10/2011
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