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1083084594
DANIEL JORDAN FONG
SAN JOSE, CA
NPI
1083084594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 43033)
Enumeration Date
2015-09-28
Last Update Date
2022-01-03
Business Address
-- DANIEL JORDAN FONG DPT
1530 MERIDIAN AVE STE 150
SAN JOSE, CA 95125-5352
Phone number: 408-979-2300
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Mailing Address
-- DANIEL JORDAN FONG DPT
1530 MERIDIAN AVE STE 150
SAN JOSE, CA 95125-5352
Phone number: 408-979-2300
Copy
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