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1346857182
JONATHAN FONG
SOLANA BEACH, CA
NPI
1346857182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 298709)
Enumeration Date
2020-09-25
Last Update Date
2020-09-25
Business Address
JONATHAN FONG
380 STEVENS AVE STE 314
SOLANA BEACH, CA 92075-2069
Phone number: 858-755-5200
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Mailing Address
JONATHAN FONG
380 STEVENS AVE STE 314
SOLANA BEACH, CA 92075-2069
Phone number: 858-755-5200
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