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1427210889
VIVIEN S FONGUE FONGUE
SOUTH MIAMI, FL
NPI
1427210889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NY 272692)
Enumeration Date
2008-06-26
Last Update Date
2016-10-28
Business Address
Dr. VIVIEN S FONGUE FONGUE D.O
6200 SW 72ND ST SUITE 602
SOUTH MIAMI, FL 33143-4828
Phone number: 786-662-0600
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Mailing Address
Dr. VIVIEN S FONGUE FONGUE D.O
PO BOX 100905
ATLANTA, GA 30384-0905
Phone number: 786-662-0600
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