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Individual

ZONG VANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5516 LEVITAN LN, MADISON, WI 53718
(608) 471-2232
Mailing address
5516 LEVITAN LN, MADISON, WI 53718
(608) 471-2232

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
02/05/2024
Last updated
02/05/2024
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