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1396850970
JOHNNY FONG JOE
DALLAS, TX
NPI
1396850970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 33242)
Additional Taxonomies
183500000X Pharmacist
(Licence: MS E5675)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
-- JOHNNY FONG JOE R.Ph.
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-0555
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Mailing Address
-- JOHNNY FONG JOE R.Ph.
6606 CLIFFWOOD CT
ARLINGTON, TX 76016-3602
Phone number: 817-561-2979
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