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1245686195
NATHANIEL STANLEY FUNG
MORENO VALLEY, CA
NPI
1245686195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0102X Surgery, Surgical Critical Care
(Licence: CA A179922)
Enumeration Date
2016-05-10
Last Update Date
2023-01-27
Business Address
Dr. NATHANIEL STANLEY FUNG M.D.
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5177
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Mailing Address
Dr. NATHANIEL STANLEY FUNG M.D.
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number:
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