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1023317922
HENRY KA FUNG MAK
CHARLOTTESVILLE, VA
NPI
1023317922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA 0116023202)
Enumeration Date
2011-03-18
Last Update Date
2011-03-18
Business Address
-- HENRY KA FUNG MAK M.D.
1215 LEE ST BOX 800170
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-9484
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Mailing Address
-- HENRY KA FUNG MAK M.D.
1215 LEE ST PO BOX 800170
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-9484
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