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1134583487
MARVIN FONG
SAN BERNARDINO, CA
NPI
1134583487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 46421)
Enumeration Date
2016-04-12
Last Update Date
2016-04-12
Business Address
Dr. MARVIN FONG Pharm D
355 E 21ST ST
SAN BERNARDINO, CA 92404-4824
Phone number: 909-882-3719
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Mailing Address
Dr. MARVIN FONG Pharm D
2107 W COMMONWEALTH AVE # D-375
ALHAMBRA, CA 91803-1435
Phone number: 626-254-3048
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