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1417697368
JASON T. FONG
LAKE CHARLES, LA
NPI
1417697368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
JASON T. FONG MBBS
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601-8849
Phone number: 337-494-2023
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Mailing Address
JASON T. FONG MBBS
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601-8849
Phone number: 337-494-2023
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