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1104253590
PATRICIA KATHERINE FONG
WALNUT CREEK, CA
NPI
1104253590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 39308)
Enumeration Date
2013-10-01
Last Update Date
2013-10-01
Business Address
Ms. PATRICIA KATHERINE FONG DPT
1441 CREEKSIDE DR 3063
WALNUT CREEK, CA 94596-5669
Phone number: 916-204-9184
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Mailing Address
Ms. PATRICIA KATHERINE FONG DPT
1441 CREEKSIDE DR 3063
WALNUT CREEK, CA 94596-5669
Phone number: 916-204-9184
Copy
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