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1225509656
ERWIN ORIO FONG
SAN DIEGO, CA
NPI
1225509656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 95141411)
Enumeration Date
2018-12-11
Last Update Date
2018-12-11
Business Address
ERWIN ORIO FONG
3853 ROSECRAN ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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Mailing Address
ERWIN ORIO FONG
3853 ROSECRAN ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
Copy
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