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1194884767
ALICE L. FONG
RIVERSIDE, CA
NPI
1194884767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G28676)
Enumeration Date
2006-12-08
Last Update Date
2008-09-23
Business Address
ALICE L. FONG MD
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 909-353-2000
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Mailing Address
ALICE L. FONG MD
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 909-353-2000
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