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1134380553
ERINE OI MING FONG
WACONIA, MN
NPI
1134380553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MN 53885)
Enumeration Date
2008-06-18
Last Update Date
2012-02-29
Business Address
Dr. ERINE OI MING FONG MD
500 S MAPLE ST
WACONIA, MN 55387-1752
Phone number: 952-442-2191
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Mailing Address
Dr. ERINE OI MING FONG MD
7475 FLYING CLOUD DR APT 406
EDEN PRAIRIE, MN 55344-3823
Phone number:
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