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1376664458
KO BRUCE FANG
FRESNO, CA
NPI
1376664458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY18841)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Dr. KO BRUCE FANG Ph.D.
2822 N. BLACKSTONE AVENUE
FRESNO, CA 93703
Phone number: 559-229-0227
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Mailing Address
Dr. KO BRUCE FANG Ph.D.
9895 SELVA WAY
ELK GROVE, CA 95757
Phone number: 916-296-5089
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