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1477210565
TIMOTHY FONG
PORTERVILLE, CA
NPI
1477210565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 60415)
Enumeration Date
2021-11-23
Last Update Date
2021-11-23
Business Address
TIMOTHY FONG PA
1107 W POPLAR AVE
PORTERVILLE, CA 93257-5839
Phone number: 877-960-3426
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Mailing Address
TIMOTHY FONG PA
1107 W POPLAR AVE
PORTERVILLE, CA 93257-5839
Phone number: 877-960-3426
Copy
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