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1114034113
ALICE KIM GONG
SAN ANTONIO, TX
NPI
1114034113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: TX G9104)
Enumeration Date
2006-08-24
Last Update Date
2007-07-13
Business Address
Dr. ALICE KIM GONG MD
4502 MEDICAL DR FL 5
SAN ANTONIO, TX 78229-4402
Phone number: 210-257-1400
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Mailing Address
Dr. ALICE KIM GONG MD
UTHSCSA, UTHSCSA, DEPT. OF PEDIATRICS 7703 FLOYD CURL DRIVE, MSC 7812
SAN ANTONIO, TX 78229-3900
Phone number: 210-358-1593
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