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Individual

MR. ALLAN DINGLASAN WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11586 RENZO ST, LAS VEGAS, NV 89183-5617
(707) 704-3434
Mailing address
11586 RENZO ST, LAS VEGAS, NV 89183-5617
(707) 704-3434

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
225400000X
Rehabilitation Practitioner
Primary
NV

Other

Enumeration date
09/21/2011
Last updated
12/27/2013
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