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1093472839
LILIAN FONG
MILWAUKEE, WI
NPI
1093472839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 5714-23)
Enumeration Date
2021-11-28
Last Update Date
2024-03-01
Business Address
LILIAN FONG PA-C
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-955-7040
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Mailing Address
LILIAN FONG PA-C
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-955-7040
Copy
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