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1336659218
RYAN CHRISTOPHER FONG
SAN DIEGO, CA
NPI
1336659218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA55027)
Enumeration Date
2017-10-05
Last Update Date
2024-09-09
Business Address
RYAN CHRISTOPHER FONG PA-C
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
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Mailing Address
RYAN CHRISTOPHER FONG PA-C
FILE 57326
LOS ANGELES, CA 90074-7326
Phone number:
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